Lucky Day Counseling, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

LUCKY DAY COUNSELING, LLC

Practice address

529R High St
Dedham, MA 02026-1858

Phone

(617) 383-1033

Fax

(781) 251-2276

NPI assigned

Dec 13, 2021

Organization subpart

No

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

Authorized official

Name

Evangelos Nonikos, LADC-I

Title

President / Director

Phone

(617) 383-1033

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evangelos Nomikos, M.ED

  • Addiction (Substance Use Disorder) Counselor
  • South Boston, MA
  • NPI 1932642147

  Addiction (Substance Use Disorder), MA

  Medicare reassignment NPD

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1366101792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529R HIGH ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261858",
            "telephone_number": "617-383-1033",
            "fax_number": "781-251-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529R HIGH ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261858",
            "telephone_number": "617-383-1033",
            "fax_number": "781-251-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY DAY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "NONIKOS",
        "authorized_official_first_name": "EVANGELOS",
        "authorized_official_title_or_position": "PRESIDENT / DIRECTOR",
        "authorized_official_telephone_number": "617-383-1033",
        "authorized_official_credential": "LADC-I"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.