Individual provider Active NPI

Herman R. Lukow II, PH.D.

  • Marriage & Family Therapist
  • Midlothian, VA
National Provider Identifier
1518352053
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717001321 Issued in VA
Practice address
6504 Woodlake Village Cir
Midlothian, VA 23112-2200
Phone
(804) 823-5475
NPI assigned
Apr 1, 2015
Last updated
Apr 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717001321 VA Primary

Addresses

Primary practice location

6504 Woodlake Village Cir
Midlothian, VA 23112-2200

Mailing address

2924 Kensington Ave
Richmond, VA 23221-2419

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0717001321VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ephratah Health Group LLC PastSince Dec 1, 2025 Accepting new patients
Balance Behavioral Health, PLLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1518352053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 KENSINGTON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6504 WOODLAKE VILLAGE CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122200",
            "telephone_number": "804-823-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKOW",
        "first_name": "HERMAN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.