Individual provider Active NPI

Denise L Lucia, PHD, LP

  • Clinical Psychologist
  • Castle Rock, CO
National Provider Identifier
1285943936
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0004418 Issued in CO
Practice address
115 Wilcox St Ste 240
Castle Rock, CO 80104-2064
Phone
(303) 945-3775
NPI assigned
Sep 29, 2010
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY.0004418 CO
Psychologist 103T00000X PY 9247 FL
Psychologist 103T00000X LP5654 MN
Clinical Psychologist 103TC0700X PSY.0004418 CO Primary
Forensic Psychologist 103TF0200X PSY.0004418 CO

Addresses

Primary practice location

115 Wilcox St Ste 240
Castle Rock, CO 80104-2064

Mailing address

115 Wilcox St Ste 240
Castle Rock, CO 80104-2064
Phone (303) 945-3775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725003435 CO Practitioner - Clinical Psychologist 1557595089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Health and Trauma Recovery Services, P.C.Group PAC ID 1254770464, 2 clinicians

Practice addresses (Care Compare)

115 Wilcox St
Suite 240
Castle Rock, CO 80104-2064
Phone (303) 945-3775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY 9247FLMDPsychologist
LP5654MNMDPsychologist
PSY.0004418COMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health and Trauma Recovery Services PC Clinical CurrentSince Apr 1, 2024 Accepting new patients

Locations

115 Wilcox St
Ste 240
Castle Rock, CO 80104
Phone (303) 945-3775

509 Wilcox St
Ste 101
Castle Rock, CO 80104

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1285943936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WILCOX ST STE 240",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042064",
            "telephone_number": "303-945-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WILCOX ST STE 240",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042064",
            "telephone_number": "303-945-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIA",
        "first_name": "DENISE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0004418",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 9247",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5654",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004418",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CO",
            "license": "PSY.0004418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.