Lynette Shirelle Luckers, EDD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC014709 Issued in PA

Practice address

1136 Main St
Bethlehem, PA 18018-6639

Phone

(215) 840-5792

NPI assigned

Mar 4, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Soulgood Healing LLC

  • Mental Health Counselor
  • Bethlehem, PA
  • NPI 1750264982
  NPD Authorized official

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1962269027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 MAIN ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186639",
            "telephone_number": "215-840-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 MAIN ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186639",
            "telephone_number": "215-840-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKERS",
        "first_name": "LYNETTE",
        "middle_name": "SHIRELLE",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LPC Radiologists
• Chris Lu
• Wayne Thomas Luchetti, M.D.
• Jenna A Luciano, DO
• Trevor Luck, MD
• Megan Leighann Ludlam
• Allison Ludwig, MA, NCC, LPC
• Patricia Anne Ludwig, DMD
• Yadhira Lugo Jose, MD
• Luis J Alvarez DDS PC

• Professional Counselor in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.