Individual provider Active NPI

Annemarie H Lucas, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Torrington, CT
National Provider Identifier
1508533258
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
002826 Issued in CT
Practice address
140 Commercial Blvd
Torrington, CT 06790-3098
Phone
(860) 482-8796
Fax
(860) 482-8876
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 002826 CT Primary

Addresses

Primary practice location

140 Commercial Blvd
Torrington, CT 06790-3098

Mailing address

140 Commercial Blvd
Torrington, CT 06790-3098
Phone (860) 482-8796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240825000111 CT Practitioner - Mental Health Counselor 0244779056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford DispensaryGroup PAC ID 4789010984, 11 clinicians

Practice addresses (Care Compare)

140 Commercial Blvd
Torrington, CT 06790-3098
Phone (860) 482-8796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002826CTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Dispensary CurrentSince Aug 1, 2024 Accepting new patients

Locations

335 Broad St
Manchester, CT 06040
Phone (860) 643-3200

542 E Main St
New Britain, CT 06051
Phone (860) 827-3313

140 Commercial Blvd
Torrington, CT 06790
Phone (860) 482-8796

Organizations & group practices 2

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1508533258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COMMERCIAL BLVD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903098",
            "telephone_number": "860-482-8796",
            "fax_number": "860-482-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COMMERCIAL BLVD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903098",
            "telephone_number": "860-482-8796",
            "fax_number": "860-482-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "ANNEMARIE",
        "middle_name": "H",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "002826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.