Lumina Wellness Therapy Professional Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LUMINA WELLNESS THERAPY PROFESSIONAL CORPORATION

Practice address

3910 Applegate CT
Fredericksburg, VA 22408-9639

Phone

(202) 573-7103

NPI assigned

Apr 12, 2024

Last updated

Apr 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Lindsay Cole, LCSW

Title

Owner, Psychotherapist

Phone

(202) 573-7103

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsay Cole Wallace

  • Clinical Social Worker
  • Fredericksburg, VA
  • NPI 1053868042
  NPD

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1467206961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 APPLEGATE CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224089639",
            "telephone_number": "202-573-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 APPLEGATE CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224089639",
            "telephone_number": "202-573-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA WELLNESS THERAPY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "202-573-7103",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Joseph Lowe III, DDS
• Janna Lowman, PT
• Amy Lowry, MD
• Christopher Lu
• Stephanie Alexandra Luck, OTR/L
• Catherine Kombozi Lumingu
• Stacey Lumpkin
• Karen Crawford Lumsden, PA-C
• Lunsford Behavioral Consulting & Yoga, LLC
• Matthew Ryan Lunsford, M.ED., MS

• Clinical Social Worker in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.