Active NPI
Michelle Enid Lucero, M.S.
- Mental Health Counselor
- Bronx, NY
National Provider Identifier
1699024422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P85622
- Practice address
- 1011 Washington Ave
Bronx, NY 10456-6619 - Phone
- (718) 585-4307
- NPI assigned
- Sep 7, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P85622 | NY | Primary |
Addresses
Primary practice location
1011 Washington Ave
Bronx, NY 10456-6619
Mailing address
2536 Atlantic Ave
Brooklyn, NY 11207-2308
Phone (917) 371-8521
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P85622 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1699024422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2536 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112072308",
"telephone_number": "917-371-8521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 WASHINGTON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104566619",
"telephone_number": "718-585-4307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO",
"first_name": "MICHELLE",
"middle_name": "ENID",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-07",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P85622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.