Active NPI
William Robert Lucker, CADAC IV
- Addiction (Substance Use Disorder) Counselor
- Huntington, IN
National Provider Identifier
1841386901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C276
- Practice address
- 2860 Northpark Ave
Huntington, IN 46750-9700 - Phone
- (260) 356-2876
- Fax
- (260) 358-0611
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C276 | IN | Primary |
Addresses
Primary practice location
2860 Northpark Ave
Huntington, IN 46750-9700
Mailing address
850 N Harrison St
Warsaw, IN 46580-3163
Phone (574) 267-7169
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
| License | State | Type | Specialty |
|---|---|---|---|
| C276 | IN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841386901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 N HARRISON ST",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803163",
"telephone_number": "574-267-7169",
"fax_number": "574-269-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 NORTHPARK AVE",
"city": "HUNTINGTON",
"state": "IN",
"postal_code": "467509700",
"telephone_number": "260-356-2876",
"fax_number": "260-358-0611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKER",
"first_name": "WILLIAM",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "CADAC IV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "C276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.