Betty E Lustig, MED/LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0000606 Issued in FL

Practice address

4280 Redtail Hawk Dr
Jacksonville, FL 32257-8116

Phone

(786) 258-2819

NPI assigned

Feb 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1306478938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 REDTAIL HAWK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578116",
            "telephone_number": "786-258-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 REDTAIL HAWK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578116",
            "telephone_number": "786-258-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTIG",
        "first_name": "BETTY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MED/LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "0000606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Lupi, DO
• Camille F Lupianez-Merly, MD
• Natalie Lupoli, P.A.
• Mattie G Lusco
• Michael Walter Lusko, D.O.
• Ioana Melania Lustrea, APRN
• Charlene Lute, LMT
• Jamison Luten, APRN, CWOCN, EMT-P
• Robert Cornelius Luten, M.D.
• Johnathan Mark Luth, DO

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.