Active NPI
Heidi Anne Lucking, MA, LPC-A, NCC
- Mental Health Counselor
- Anchorage, AK
National Provider Identifier
1538887906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1131 E International Airport Rd
Anchorage, AK 99518-1408 - Phone
- (907) 276-2700
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 89021 | TX | |
| Mental Health Counselor | 101YM0800X | AK | Primary |
Addresses
Primary practice location
1131 E International Airport Rd
Anchorage, AK 99518-1408
Mailing address
29809 N Mill LN
Deer Park, WA 99006-8398
Phone (903) 920-9956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202717541WA | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | heidi.lucking@outlook.com | Direct |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89021 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1538887906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29809 N MILL LN",
"city": "DEER PARK",
"state": "WA",
"postal_code": "990068398",
"telephone_number": "903-920-9956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 E INTERNATIONAL AIRPORT RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995181408",
"telephone_number": "907-276-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKING",
"first_name": "HEIDI",
"middle_name": "ANNE",
"credential": "MA, LPC-A, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "89021",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202717541WA",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "heidi.lucking@outlook.com",
"affiliation": "N",
"endpointDescription": "Personal Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1131 E International Airport Rd",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995181408",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.