Marlen Lukatsky, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61094110 Issued in WA

Practice address

123 Broadway E Ste a
Seattle, WA 98102-5711

Phone

(503) 684-8252

NPI assigned

Oct 1, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mind Spa PCGroup PAC ID 9032507926, 5 clinicians

Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mindful Therapy Group PC

  dba Mindful Therapy Group

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Mind Spa Inc

  dba Mind Spa

  • Adult Mental Health Clinic/Center
  • Greenwood Village, CO
  • NPI 1295408789
  Medicare reassignment Care Compare group NPD
• Anywhere Clinic LLC

  dba Calm Clinic

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1316460850

  CO, Psychiatric/Mental Health

  Medicare reassignment NPD
• Mindful Therapy Group of Colorado, PC

  • Clinical Social Worker
  • Greenwood Village, CO
  • NPI 1972389963

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Mindful Therapy Group of Colorado, P.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Boulder, CO
  • NPI 1023971041
  NPD
• Iron Will Holdings, LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Greenwood Village, CO
  • NPI 1316882830
  NPD (past)

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1932706066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BROADWAY E STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BROADWAY E STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025711",
            "telephone_number": "503-684-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKATSKY",
        "first_name": "MARLEN",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61094110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Luk
• Ming Ho Luk
• Jason J Lukas, MD, PHD
• Yannette C Lukas
• Yelizaveta Alexeevna Lukasheva, RN
• Dahlia A Luke, MD
• Shawn Stanley Luke, OTR/L
• Valor Luke
• Tiffany Nicole Lukenda
• Mary Wetherill Lukens Dompe, L.M.P.

• Psychiatric/Mental Health Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.