Active NPI
Nancy Pamela Lumb
- Mental Health Counselor
- Santa Monica, CA
National Provider Identifier
1780947994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ACSW60388
- Practice address
- 1619 Santa Monica Blvd
Santa Monica, CA 90404 - Phone
- (310) 392-5855
- Fax
- (310) 453-4817
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- No
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 | ACSW60388 | CA | Primary |
Addresses
Primary practice location
1619 Santa Monica Blvd
Santa Monica, CA 90404
Mailing address
1328 Second Street
Santa Monica, CA 90401
Phone (310) 576-1308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 24, 2024 through Apr 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACSW60388 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Up on Second Street Inc. | Past | Accepting new patients | |
| Step Up on Second Street, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- San Bernardino, CA
- NPI 1285186353
-
- Community/Behavioral Health Agency
- Santa Monica, CA
- NPI 1649309469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1780947994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1328 SECOND STREET",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90401",
"telephone_number": "310-576-1308",
"fax_number": "310-576-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 SANTA MONICA BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90404",
"telephone_number": "310-392-5855",
"fax_number": "310-453-4817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMB",
"first_name": "NANCY",
"middle_name": "PAMELA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ACSW60388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.