Active NPI
Luis Jose Marcano, M.S, LCMHC, LCAS
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1891232211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12936
- Practice address
- 4011 Westchase Blvd Ste 225
Raleigh, NC 27607-3978 - Phone
- (919) 828-9937
- Fax
- (919) 828-4287
- NPI assigned
- Jan 24, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-23225 | NC | |
| Mental Health Counselor | 101YM0800X | A12936 | NC | |
| Professional Counselor | 101YP2500X | 12936 | NC | |
| Mental Health Counselor | 101YM0800X | 12936 | NC | Primary |
Addresses
Primary practice location
4011 Westchase Blvd Ste 225
Raleigh, NC 27607-3978
Mailing address
7125 Tyndall CT
Raleigh, NC 27615-7642
Phone (919) 400-0615
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-23225 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| A12936 | NC | MD | Mental Health Counselor |
| 12936 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luis Marcano - Counseling and Consultation Services, PLLC | Professional | Current | Accepting new patients |
| Psychiatric Associates of NC, PA | Past | Accepting new patients |
Locations
189 Wind Chime Ct
Ste 202
Raleigh, NC 27615
Phone (919) 307-1847
Interoperability endpoints
- lmarcano@psychiatric-associates-o.direct.kno2fy.com
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 and National Provider Directory roles.
-
- Professional Counselor
- Raleigh, NC
- NPI 1558248476
-
- Psychiatry Physician
- Raleigh, NC
- NPI 1154374825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1891232211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7125 TYNDALL CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276157642",
"telephone_number": "919-400-0615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 WESTCHASE BLVD STE 225",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276073978",
"telephone_number": "919-828-9937",
"fax_number": "919-828-4287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCANO",
"first_name": "LUIS",
"middle_name": "JOSE",
"name_prefix": "Mr.",
"credential": "M.S, LCMHC, LCAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-24",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-23225",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A12936",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "12936",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "12936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.