Marnie Lucas, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

87254 Issued in CA

Practice address

3135 Boeing Ave Ste A4
McKinleyville, CA 95519-9373

Phone

(707) 839-4969

NPI assigned

Jun 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 17, 2024 through Apr 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Waterfront Recovery Services

  • Substance Abuse Rehabilitation Facility
  • Eureka, CA
  • NPI 1417307125
  NPD (past)

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1801234703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 BOEING AVE STE A4",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955199373",
            "telephone_number": "707-839-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 BOEING AVE STE A4",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955199373",
            "telephone_number": "707-839-4969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2413 2nd St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955010811",
            "country_code": "US",
            "telephone_number": "707-269-9590",
            "fax_number": "707-444-8012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "MARNIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Keenan Taj Logan
• Shoua Lor
• Lorissa J Lorenzo, PA-C
• Lost Coast Transportation Services
• Tracy Lynn Lough, LM
• Kaylee Luna
• Cali Cristina Lynch
• Laura Lynn Lyons, A.R.N.P.
• Trinity Heaven Mace
• Lori Andra Macfarlane, O.D.

• Marriage & Family Therapist in McKinleyville, CA
• Providers in McKinleyville, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.

Verify at the official NPI Registry.