James Otto Lucas, LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC10723 Issued in AZ

Practice address

2080 Acoma Blvd W Unit a
Lake Havasu City, AZ 86403-2971

Phone

(928) 821-2424

NPI assigned

Nov 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Treatment Assessment Screening Center, Inc

  • Community/Behavioral Health Agency
  • Lake Havasu City, AZ
  • NPI 1386033124
  NPD (past)

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1700355757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 ACOMA BLVD W UNIT A",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864032971",
            "telephone_number": "928-453-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 ACOMA BLVD W UNIT A",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864032971",
            "telephone_number": "928-821-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JAMES",
        "middle_name": "OTTO",
        "credential": "LISAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC10723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen L Long, LPC, CACII
• Thomas Eugene Long, M.D.
• Melanie Nicole Longi, LPC
• Manu Lonial, M.D.
• Louis a. King D.C.P.C.
• Marlie E Lucas, FNP-BC
• L D Lumpkin, LCSW LISAC
• Luana Kay Luna, PTA
• Lundin Dental PC
• Cameron Lundin, DDS

• Addiction (Substance Use Disorder) Counselor in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.