Individual provider Active NPI

Lucas Brewer, LPCC-S

  • Professional Counselor
  • Kettering, OH
National Provider Identifier
1821349812
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1400023-SUPV Issued in OH
Practice address
1524 E Stroop Rd Ste 300
Kettering, OH 45429
Phone
(937) 825-3223
Fax
(513) 751-0180
NPI assigned
Oct 1, 2012
Last updated
Feb 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C .1000029 OH
Professional Counselor 101YP2500X E.1400023-SUPV OH Primary

Addresses

Primary practice location

1524 E Stroop Rd Ste 300
Kettering, OH 45429

Mailing address

1524 E Stroop Rd Ste 300
Kettering, OH 45429-5059
Phone (937) 825-3223

Other practice location 1

2534 Victory Pkwy
Cincinnati, OH 45206-2004
Phone (513) 641-4300

Other identifiers 1

IdentifierTypeStateIssuer
180459MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
C .1000029OHMDProfessional Counselor
E.1400023-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Brewer Memorial Foundation Past Accepting new patients
Family Matters Counseling LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1821349812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 E STROOP RD STE 300",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295059",
            "telephone_number": "937-825-3223",
            "fax_number": "513-751-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 E STROOP RD STE 300",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-825-3223",
            "fax_number": "513-751-0180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2534 Victory Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452062004",
            "country_code": "US",
            "telephone_number": "513-641-4300",
            "fax_number": "513-751-0180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "LUCAS",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C .1000029",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1400023-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180459",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.