Organization Active NPI

Lux Behavioral and Wellness Center Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Andover, MA
National Provider Identifier
1871285569
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LUX BEHAVIORAL AND WELLNESS CENTER CORPORATION
Practice address
300 Brickstone SQ Ste 201
Andover, MA 01810-1497
Phone
(978) 483-7515
Fax
(978) 824-8799
NPI assigned
May 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Marcia Eustache, M.S. , IN PSYCHNPI 1881179695
Title
Ceo/Clinician
Phone
(978) 483-7515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

300 Brickstone SQ Ste 201
Andover, MA 01810-1497

Mailing address

59 Temple St Apt 1
Lowell, MA 01851-3270
Phone (978) 483-7515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260107001687 MA Part B Supplier - Clinic/Group Practice 8022594357 Receives reassigned benefits from 1 practitioner
Practice locations: Andover, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1871285569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 TEMPLE ST APT 1",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018513270",
            "telephone_number": "978-483-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BRICKSTONE SQ STE 201",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101497",
            "telephone_number": "978-483-7515",
            "fax_number": "978-824-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX BEHAVIORAL AND WELLNESS CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "EUSTACHE",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "CEO/CLINICIAN",
        "authorized_official_telephone_number": "978-483-7515",
        "authorized_official_credential": "M.S. , IN PSYCH"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.