Active NPI
Daniel Lewis Lucas, M.S.
- Professional Counselor
- Port Orange, FL
National Provider Identifier
1497928758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 612192
- Practice address
- 1059 Azalea Pointe Dr
Port Orange, FL 32129-4100 - Phone
- (386) 235-8299
- NPI assigned
- Apr 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 612192 | FL | |
| Professional Counselor | 101YP2500X | 612192 | FL | Primary |
Addresses
Primary practice location
1059 Azalea Pointe Dr
Port Orange, FL 32129-4100
Mailing address
1059 Azalea Pointe Dr
Port Orange, FL 32129-4100
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 612192 | FL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1497928758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1059 AZALEA POINTE DR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321294100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1059 AZALEA POINTE DR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321294100",
"telephone_number": "386-235-8299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "DANIEL",
"middle_name": "LEWIS",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-08",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "612192",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "612192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.