Active NPI
Shakendra Lucas, LMHC
- Mental Health Counselor
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH20236
- Practice address
- 6501 Arlington Expressway B105 #2155
Jacksonville, FL 32211 - Phone
- (904) 413-8726
- NPI assigned
- Mar 16, 2021
- Last updated
- Dec 4, 2024
- 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 | MH20236 | FL | Primary |
| Professional Counselor | 101YP2500X | 97134 | TX |
Addresses
Primary practice location
6501 Arlington Expressway B105 #2155
Jacksonville, FL 32211
Mailing address
6501 Arlington Expy Ste B105
Jacksonville, FL 32211-0810
Phone (904) 413-8726
Other practice location 1
1320 N Semoran Blvd Ste 107
Orlando, FL 32807-3552
Phone (800) 614-4124
Other practice location 2
7740 Plantation Bay Dr Apt 109
Jacksonville, FL 32244-5185
Phone (870) 995-0932
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 |
|---|---|---|---|
| MH20236 | FL | MD | Mental Health Counselor |
| 97134 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Lissen Therapy, LLC | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- shakendralucas@tdh.allscriptsdirect.net
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.
-
- Mental Health Counselor
- Jacksonville, FL
- NPI 1831986926
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1619552072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 ARLINGTON EXPY STE B105",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322110810",
"telephone_number": "904-413-8726",
"fax_number": "904-506-7807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 ARLINGTON EXPRESSWAY B105 #2155",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32211",
"telephone_number": "904-413-8726"
}
],
"practiceLocations": [
{
"address_1": "1320 N Semoran Blvd Ste 107",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328073552",
"country_code": "US",
"telephone_number": "800-614-4124",
"fax_number": "800-217-4124",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7740 Plantation Bay Dr Apt 109",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322445185",
"country_code": "US",
"telephone_number": "870-995-0932",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCAS",
"first_name": "SHAKENDRA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH20236",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "97134",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.