Active NPI
Angelo Lucaj, CMHA
- Mental Health Counselor
- North Las Vegas, NV
National Provider Identifier
1710552039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 21-QMHA-R-1087
- Practice address
- 3215 Panamint CT
North Las Vegas, NV 89032-0486 - Phone
- (747) 243-2497
- NPI assigned
- May 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 21-QMHA-R-1087 | OR | Primary |
Addresses
Primary practice location
3215 Panamint CT
North Las Vegas, NV 89032-0486
Mailing address
3215 Panamint CT
North Las Vegas, NV 89032-0486
Phone (747) 243-2497
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21-QMHA-R-1087 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1710552039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 PANAMINT CT",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890320486",
"telephone_number": "747-243-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3215 PANAMINT CT",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890320486",
"telephone_number": "747-243-2497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAJ",
"first_name": "ANGELO",
"credential": "CMHA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-20",
"last_updated": "2021-05-20",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "21-QMHA-R-1087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.