Individual provider Active NPI

Luis Jose Marcano, M.S, LCMHC, LCAS

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1891232211
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12936 Issued in NC
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

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LCAS-23225NCMDAddiction (Substance Use Disorder) Counselor
A12936NCMDMental Health Counselor
12936NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Luis Marcano - Counseling and Consultation Services, PLLC Professional Current Accepting new patients
Psychiatric Associates of NC, PA PastSince Oct 20, 2024 Accepting new patients

Locations

189 Wind Chime Ct
Ste 202
Raleigh, NC 27615
Phone (919) 307-1847

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.