Individual provider Active NPI

Kamiko Lucas, LMFT

  • Marriage & Family Therapist
  • Nevada City, CA
National Provider Identifier
1942628177
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT42951 Issued in CA
Practice address
24077 State Highway 49
Nevada City, CA 95959-8519
Phone
(530) 265-9057
Fax
(530) 292-3803
NPI assigned
Apr 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT42951 CA Primary

Addresses

Primary practice location

24077 State Highway 49
Nevada City, CA 95959-8519

Mailing address

24077 State Highway 49
Nevada City, CA 95959-8519
Phone (530) 265-9057

Other practice location 1

1848 Willow Pass Rd Ste 115
Concord, CA 94520-2591
Phone (916) 362-8292

Other practice location 2

3336 Bradshaw Rd
Sacramento, CA 95827-2615
Phone (916) 362-8292

Other practice location 3

7818 Bar Du Ln
Sacramento, CA 95829-9469
Phone (916) 362-8292

Other practice location 4

9200 Sweet Acacia Way
Sacramento, CA 95829-8735
Phone (916) 362-8292

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

State licenses

LicenseStateTypeSpecialty
LMFT42951CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Valley Child and Family Services, Inc. Past Accepting new patients
Mountain Valley Child and Family Services, Inc. Past Accepting new patients

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1942628177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24077 STATE HIGHWAY 49",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959598519",
            "telephone_number": "530-265-9057",
            "fax_number": "530-292-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24077 STATE HIGHWAY 49",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959598519",
            "telephone_number": "530-265-9057",
            "fax_number": "530-292-3803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1848 Willow Pass Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945202591",
            "country_code": "US",
            "telephone_number": "916-362-8292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3336 Bradshaw Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958272615",
            "country_code": "US",
            "telephone_number": "916-362-8292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7818 Bar Du Ln",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958299469",
            "country_code": "US",
            "telephone_number": "916-362-8292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 Sweet Acacia Way",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958298735",
            "country_code": "US",
            "telephone_number": "916-362-8292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "KAMIKO",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT42951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.