Individual provider Active NPI

Lisa Cooper-Lucas

  • Professional Counselor
  • Towson, MD
National Provider Identifier
1285273979
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC9241 Issued in MD
Practice address
40 W Chesapeake Ave Ste 507
Towson, MD 21204-4892
Phone
(410) 847-7171
NPI assigned
Dec 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC9241 MD Primary

Addresses

Primary practice location

40 W Chesapeake Ave Ste 507
Towson, MD 21204-4892

Mailing address

5525 Twin Knolls Rd Ste 327
Columbia, MD 21045-3207
Phone (410) 992-9149

Other practice location 1

5525 Twin Knolls Rd Ste 327
Columbia, MD 21045-3207
Phone (410) 992-9149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC9241MDMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1285273979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 TWIN KNOLLS RD STE 327",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453207",
            "telephone_number": "410-992-9149",
            "fax_number": "410-992-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W CHESAPEAKE AVE STE 507",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044892",
            "telephone_number": "410-847-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5525 Twin Knolls Rd Ste 327",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210453207",
            "country_code": "US",
            "telephone_number": "410-992-9149",
            "fax_number": "410-992-9921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER-LUCAS",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC9241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.