Active NPI
Boris Lukic
- Mental Health Counselor
- Lawrence, MA
National Provider Identifier
1699129544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 599 Canal St
5TH Floor, West Suite #12
Lawrence, MA 01840-1244 - Phone
- (978) 989-9902
- NPI assigned
- Apr 18, 2016
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
599 Canal St
5TH Floor, West Suite #12
Lawrence, MA 01840-1244
Mailing address
11 Lawrence St Ste 303
Lawrence, MA 01840-1436
Phone (978) 965-9176
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1699129544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 LAWRENCE ST STE 303",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401436",
"telephone_number": "978-965-9176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 CANAL ST",
"address_2": "5TH FLOOR, WEST SUITE #12",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401244",
"telephone_number": "978-989-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKIC",
"first_name": "BORIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-18",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.