Individual provider Active NPI

Amy Vialpando Lukowski, PSY.D.

  • Counseling Psychologist
  • Highlands Ranch, CO
National Provider Identifier
1689877235
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3065 Issued in CO
Practice address
10044 Blackbird PL
Highlands Ranch, CO 80130-3873
Phone
(303) 552-8424
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3065 CO Primary

Addresses

Primary practice location

10044 Blackbird PL
Highlands Ranch, CO 80130-3873

Mailing address

10044 Blackbird PL
Highlands Ranch, CO 80130-3873
Phone (303) 552-8424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121004369 OH Practitioner - Mental Health Counselor 1254415516 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3065COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Psychiatry CurrentSince Sep 25, 2024 Accepting new patients
The Metrohealth System CurrentSince Sep 25, 2024 Accepting new patients
The Metrohealth System Current Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

Interoperability endpoints

  • Direct secure messaging: alukowski289463@direct.metrohealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689877235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10044 BLACKBIRD PL",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801303873",
            "telephone_number": "303-552-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10044 BLACKBIRD PL",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801303873",
            "telephone_number": "303-552-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKOWSKI",
        "first_name": "AMY",
        "middle_name": "VIALPANDO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "3065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.