Active NPI
Destiny Knight Lucas, LPC
- Professional Counselor
- The Woodlands, TX
National Provider Identifier
1851597744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 20309
- Practice address
- 4840 W Panther Creek Dr
#210
The Woodlands, TX 77381-3527 - Phone
- (713) 303-2723
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 20309 | TX | Primary |
Addresses
Primary practice location
4840 W Panther Creek Dr
#210
The Woodlands, TX 77381-3527
Mailing address
4840 W Panther Creek Dr
#210
The Woodlands, TX 77381-3527
Phone (713) 303-2723
Other names 1
- Destiny Knight Ross
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 |
|---|---|---|---|
| 20309 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851597744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4840 W PANTHER CREEK DR",
"address_2": "#210",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773813527",
"telephone_number": "713-303-2723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4840 W PANTHER CREEK DR",
"address_2": "#210",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773813527",
"telephone_number": "713-303-2723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "DESTINY",
"middle_name": "KNIGHT",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "20309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DESTINY",
"last_name": "ROSS",
"middle_name": "KNIGHT",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in The Woodlands, TX
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.