Jesse Lugo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

623 W Southern Ave Ste 7
Mesa, AZ 85210-5022

Phone

(480) 962-9288

NPI assigned

Aug 18, 2022

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

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.

• The Resolution Group, Inc.

  • Counselor
  • Phoenix, AZ
  • NPI 1508420407
  NPD (past)

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1740908441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W SOUTHERN AVE STE 7",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105022",
            "telephone_number": "480-962-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W SOUTHERN AVE STE 7",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105022",
            "telephone_number": "480-962-9288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 E Earll Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850167618",
            "country_code": "US",
            "telephone_number": "480-962-9288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUGO",
        "first_name": "JESSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerstyn Ludlow, LAMFT
• Anthony L (NMN) Ludwig, LPC
• Wade Christian Lueck, PH.D.
• Henry Luedy, M.D.
• Randi Renee Luevano, LCSW
• Ana Cecilia Luis Acosta
• Angelita N. Lujan, COTA/L
• Jerrid Lujan
• Marek Lukacik, MD
• Monika Lukasiewicz, OTR/L

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.