Active NPI
Lucas Rushton, LCPC-CC
- Counselor
- Windham, ME
National Provider Identifier
1477256006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- XL6830
- Practice address
- 86 Tandberg TRL
Windham, ME 04062-5841 - Phone
- (207) 893-0386
- NPI assigned
- Mar 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | XL6830 | ME | Primary |
Addresses
Primary practice location
86 Tandberg TRL
Windham, ME 04062-5841
Mailing address
PO Box 1360
Windham, ME 04062-1360
Phone (207) 893-0386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XL6830 | ME | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1477256006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1360",
"city": "WINDHAM",
"state": "ME",
"postal_code": "040621360",
"telephone_number": "207-893-0386",
"fax_number": "207-893-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 TANDBERG TRL",
"city": "WINDHAM",
"state": "ME",
"postal_code": "040625841",
"telephone_number": "207-893-0386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSHTON",
"first_name": "LUCAS",
"credential": "LCPC-CC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-23",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ME",
"license": "XL6830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.