Active NPI
Julie Symons Luke, LCSW LPC
- Counselor
- Beaumont, TX
National Provider Identifier
1518077619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 14580
- 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, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112961101 | Medicaid | TX | |
| 5761005 | Other | TX | AETNA |
| 11121300 | Other | TX | MAGELLAN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10335LPC | TX | MD | Psychologist |
| 14580LCSW | TX | MD | Psychologist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.