Active NPI
Dennis Lucas
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1508676594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 145668
- Practice address
- 1301 Brockton Ave Apt 109
Los Angeles, CA 90025-1596 - Phone
- (201) 774-2201
- NPI assigned
- Jan 10, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 145668 | CA | Primary |
| Professional Counselor | 101YP2500X | 15987 |
Addresses
Primary practice location
1301 Brockton Ave Apt 109
Los Angeles, CA 90025-1596
Mailing address
1301 Brockton Ave Apt 109
Los Angeles, CA 90025-1596
Phone (201) 774-2201
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 |
|---|---|---|---|
| 145668 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1508676594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BROCKTON AVE APT 109",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251596",
"telephone_number": "201-774-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BROCKTON AVE APT 109",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251596",
"telephone_number": "201-774-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "DENNIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-10",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "145668",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": "15987",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.