Organization Active NPI

Lynn Lucas Counseling, LLC

  • Clinical Social Worker
  • Plymouth, IN
National Provider Identifier
1972066447
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LYNN LUCAS COUNSELING, LLC
Practice address
509 Colonial CT
Plymouth, IN 46563-1860
Phone
(574) 316-3300
Fax
(574) 316-3385
NPI assigned
Apr 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Lynn Ann Lucas, LCSW
Title
Owner
Phone
(574) 316-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

509 Colonial CT
Plymouth, IN 46563-1860

Mailing address

1012 Angell St
Plymouth, IN 46563-2916
Phone (574) 780-3868

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lynn@lynnlucascounseling.com Direct

National Provider Directory

National Provider Directory

Locations

509 Colonial Ct
Plymouth, IN 46563
Phone (574) 316-3300

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1972066447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 ANGELL ST",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465632916",
            "telephone_number": "574-780-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 COLONIAL CT",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631860",
            "telephone_number": "574-316-3300",
            "fax_number": "574-316-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN LUCAS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-316-3300",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lynn@lynnlucascounseling.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "505 Colonial Ct",
            "city": "Plymouth",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465631860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.