Individual provider Active NPI

Shakendra Lucas, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1619552072
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20236 Issued in FL
Practice address
6501 Arlington Expressway B105 #2155
Jacksonville, FL 32211
Phone
(904) 413-8726
NPI assigned
Mar 16, 2021
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MH20236FLMDMental Health Counselor
97134TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Lissen Therapy, LLC Mental Health CurrentSince Apr 27, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.