Individual provider Active NPI

Sara Key Luckenbill, LPC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1396509709
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
89939 Issued in TX
Practice address
201 Canterbury Dr
Austin, TX 78737-4550
Phone
(512) 657-2359
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 89939 TX Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

201 Canterbury Dr
Austin, TX 78737-4550

Mailing address

201 Canterbury Dr
Austin, TX 78737-4550
Phone (512) 657-2359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250415003276 TX Practitioner - Mental Health Counselor 9739604455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Live Oak Collective LLCGroup PAC ID 9133516404, 3 clinicians

Practice addresses (Care Compare)

3571 Far W Blvd
Austin, TX 78731-3064
Phone (512) 765-6657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89939TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center Mental Health CurrentSince Feb 9, 2025 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Feb 9, 2025 Accepting new patients
Live Oak Collective LLC CurrentSince Mar 18, 2025 Accepting new patients

Locations

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

1717 W 10th St
Austin, TX 78703
Phone (512) 472-3142

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1396509709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CANTERBURY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374550",
            "telephone_number": "512-657-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CANTERBURY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374550",
            "telephone_number": "512-657-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKENBILL",
        "first_name": "SARA",
        "middle_name": "KEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89939",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.