Active NPI
Zechariah Lucas, LPC INTERN
- Mental Health Counselor
- Oregon City, OR
National Provider Identifier
1518565761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R5919
- Practice address
- 14279 S Glen Oaks Rd
Oregon City, OR 97045-8008 - Phone
- (503) 732-0187
- NPI assigned
- Oct 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R5919 | OR | Primary |
Addresses
Primary practice location
14279 S Glen Oaks Rd
Oregon City, OR 97045-8008
Mailing address
1372 SE 11TH Loop
Canby, OR 97013-8791
Phone (503) 593-3405
Other names 1
- Zach Lucas
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 |
|---|---|---|---|
| R5919 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602288000000",
"number": "1518565761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1372 SE 11TH LOOP",
"city": "CANBY",
"state": "OR",
"postal_code": "970138791",
"telephone_number": "503-593-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14279 S GLEN OAKS RD",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970458008",
"telephone_number": "503-732-0187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "ZECHARIAH",
"credential": "LPC INTERN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-10",
"last_updated": "2020-10-10",
"certification_date": "2020-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R5919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ZACH",
"last_name": "LUCAS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.