Individual provider Active NPI

Lukas Daniel Lewis, LCMHC

  • Counselor
  • Burlington, VT
National Provider Identifier
1811571334
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
068.0096862 Issued in VT
Practice address
1 Main St Ste 308
Burlington, VT 05401-8480
Phone
(518) 321-0515
NPI assigned
May 11, 2021
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 068.0096862 VT Primary

Addresses

Primary practice location

1 Main St Ste 308
Burlington, VT 05401-8480

Mailing address

1 Main St Ste 308
Burlington, VT 05401-8480
Phone (518) 321-0515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20240326001164 VT Practitioner - Mental Health Counselor 6901243930 Practice locations: Burlington, VT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Vermont College of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Main St
Burlington, VT 05401-8480
Phone (518) 321-0515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068.0096862VTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1811571334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAIN ST STE 308",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018480",
            "telephone_number": "518-321-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN ST STE 308",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018480",
            "telephone_number": "518-321-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LUKAS",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-02-09",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VT",
            "license": "068.0096862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.