Individual provider Active NPI

Cecelia Marie Lux, CCC

  • Speech-Language Pathologist
  • Cypress, CA
National Provider Identifier
1881614410
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6018 Issued in CA
Practice address
4312 Crystal Cir
Cypress, CA 90630-2015
Phone
(714) 484-0103
Fax
(714) 484-0104
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6018 CA Primary

Addresses

Primary practice location

4312 Crystal Cir
Cypress, CA 90630-2015

Mailing address

4312 Crystal Cir
Cypress, CA 90630-2015
Phone (714) 484-0103

Other identifiers 1

IdentifierTypeStateIssuer
6018OtherCASPEECH THERAPY LICENSE

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1881614410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 CRYSTAL CIR",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302015",
            "telephone_number": "714-484-0103",
            "fax_number": "714-484-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 CRYSTAL CIR",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302015",
            "telephone_number": "714-484-0103",
            "fax_number": "714-484-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUX",
        "first_name": "CECELIA",
        "middle_name": "MARIE",
        "credential": "CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "6018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPY LICENSE",
            "identifier": "6018",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.