Individual provider Active NPI

Stephanie A Lukes, LPCC

  • Professional Counselor
  • Cleveland, OH
National Provider Identifier
1720550577
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E2202743 Issued in OH
Practice address
3622 Prospect Ave E
Cleveland, OH 44115-2704
Phone
(440) 365-1900
NPI assigned
Dec 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.1800847-TRNE OH
Professional Counselor 101YP2500X C.1901708 OH
Professional Counselor 101YP2500X E2202743 OH Primary

Addresses

Primary practice location

3622 Prospect Ave E
Cleveland, OH 44115-2704

Mailing address

3622 Prospect Ave E
Cleveland, OH 44115-2704
Phone (216) 431-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240415003126 OH Practitioner - Mental Health Counselor 0446699193 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1800847-TRNEOHMDCounselor
C.1901708OHMDProfessional Counselor
E2202743OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Aug 4, 2024 Accepting new patients
Moore Counseling & Mediation Services, Inc. Counselor PastSince Feb 23, 2020 Accepting new patients
Imex Inc PastSince Feb 23, 2020 Accepting new patients

Locations

1890 Northwest Blvd
Ste 140
Columbus, OH 43212
Phone (614) 515-6291

14650 Detroit Ave
Ste 110
Lakewood, OH 44107
Phone (216) 238-3622

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 4

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": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1720550577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 PROSPECT AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152704",
            "telephone_number": "216-431-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 PROSPECT AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152704",
            "telephone_number": "440-365-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKES",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1800847-TRNE",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1901708",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E2202743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.