Individual provider Active NPI

Julie Symons Luke, LCSW LPC

  • Counselor
  • Beaumont, TX
National Provider Identifier
1518077619
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
14580 Issued in TX
Practice address
5825 Phelan Blvd Ste 101
Beaumont, TX 77706
Phone
(409) 860-0001
Fax
(409) 860-0010
NPI assigned
Aug 30, 2006
Last updated
Apr 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 14580 TX Primary
Psychologist 103T00000X 10335LPC TX
Psychologist 103T00000X 14580LCSW TX

Addresses

Primary practice location

5825 Phelan Blvd Ste 101
Beaumont, TX 77706

Mailing address

5825 Phelan Blvd Ste 101
Beaumont, TX 77706-6200
Phone (409) 860-0001

Other practice location 1

3560 Delaware
Suite 104
Beaumont, TX 77706-3059
Phone (409) 899-2860

Other practice location 2

5825 Phelan Blvd Ste 101
Beaumont, TX 77706
Phone (409) 860-0001

Other identifiers 3

IdentifierTypeStateIssuer
112961101MedicaidTX
5761005OtherTXAETNA
11121300OtherTXMAGELLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100819000468 TX Practitioner - Clinical Social Worker 1355475831 Practice locations: Beaumont, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5825 Phelan Blvd
Beaumont, TX 77706-6200
Phone (409) 860-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10335LPCTXMDPsychologist
14580LCSWTXMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1518077619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 PHELAN BLVD STE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066200",
            "telephone_number": "409-860-0001",
            "fax_number": "409-860-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 PHELAN BLVD STE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77706",
            "telephone_number": "409-860-0001",
            "fax_number": "409-860-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3560 Delaware",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777063059",
            "country_code": "US",
            "telephone_number": "409-899-2860",
            "fax_number": "409-899-4235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5825 Phelan Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "77706",
            "country_code": "US",
            "telephone_number": "409-860-0001",
            "fax_number": "409-860-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKE",
        "first_name": "JULIE",
        "middle_name": "SYMONS",
        "name_prefix": "Mrs.",
        "credential": "LCSW LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "14580",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "10335LPC",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "14580LCSW",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112961101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5761005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "11121300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.