Individual provider Active NPI

Karl Lujan, MA, LPC, CAC III

  • Addiction (Substance Use Disorder) Counselor
  • Pueblo, CO
National Provider Identifier
1962813782
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
7100 Issued in CO
Practice address
1711 E Evans Ave
Pueblo, CO 81004-3349
Phone
(719) 543-8751
Fax
(719) 543-7496
NPI assigned
May 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12695 CO
Addiction (Substance Use Disorder) Counselor 101YA0400X 7100 CO Primary

Addresses

Primary practice location

1711 E Evans Ave
Pueblo, CO 81004-3349

Mailing address

1711 E Evans Ave
Pueblo, CO 81004-3349
Phone (719) 543-8751

Other practice location 1

1615 Bonforte Blvd
Pueblo, CO 81001-1602
Phone (719) 404-1992 ext. 107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131000289 CO Practitioner - Mental Health Counselor 8527411107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health SolutionsGroup PAC ID 0143110668, 39 clinicians

Practice addresses (Care Compare)

41 Montebello Rd
Suite LL1
Pueblo, CO 81001-1379
Phone (719) 545-2746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7100COMDOrthodontics and Dentofacial Orthopedic Dentist
12695COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Solutions CurrentSince Jan 1, 2024 Accepting new patients
Health Solutions CurrentSince Jan 1, 2024 Accepting new patients

Locations

1304 Chinook Ln
Pueblo, CO 81001
Phone (719) 562-3222

41 Montebello Rd
Ste 204
Pueblo, CO 81001
Phone (719) 423-1341

1302 Chinook Ln
Pueblo, CO 81001

2003 E 4th St
Pueblo, CO 81001
Phone (719) 544-6373

41 Montebello Rd
Lowr LL1
Pueblo, CO 81001

41 Montebello Rd
Ste 202
Pueblo, CO 81001
Phone (719) 423-1341

1012 W Abriendo Ave
Pueblo, CO 81004
Phone (719) 583-2207

41 Montebello Rd
Ste 100
Pueblo, CO 81001

1310 Chinook Ln
Pueblo, CO 81001

41 Montebello Rd
Ste LL1
Pueblo, CO 81001
Phone (719) 543-7115

41 Montebello Rd
Ste 116
Pueblo, CO 81001
Phone (719) 423-1500

910 E Main St
Trinidad, CO 81082
Phone (719) 631-3370

417 S Indiana Ave
Trinidad, CO 81082
Phone (719) 846-4416

926 Russell Ave
Walsenburg, CO 81089
Phone (719) 738-2386

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1962813782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 E EVANS AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043349",
            "telephone_number": "719-543-8751",
            "fax_number": "719-543-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E EVANS AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043349",
            "telephone_number": "719-543-8751",
            "fax_number": "719-543-7496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Bonforte Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810011602",
            "country_code": "US",
            "telephone_number": "719-404-1992 x107",
            "fax_number": "719-404-1996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUJAN",
        "first_name": "KARL",
        "credential": "MA, LPC, CAC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "12695",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "7100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.