Active NPI
Carolyn Marie Lucas, M.S.
- Counselor
- Portland, OR
National Provider Identifier
1740438274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 421 SW Oak St
Suite 520
Portland, OR 97204-1817 - Phone
- (503) 816-9495
- NPI assigned
- Sep 9, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
421 SW Oak St
Suite 520
Portland, OR 97204-1817
Mailing address
7211 N Albina Ave
Portland, OR 97217-1661
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1740438274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7211 N ALBINA AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972171661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 SW OAK ST",
"address_2": "SUITE 520",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972041817",
"telephone_number": "503-816-9495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "CAROLYN",
"middle_name": "MARIE",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.