Individual provider Active NPI

Jessica Luquis, MA, LMHC, CAS

  • Mental Health Counselor
  • Albany, NY
National Provider Identifier
1982143822
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4985 Issued in NY
Practice address
5 Stella Ter
Albany, NY 12205-4812
Phone
(315) 717-2267
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4985 NY Primary

Addresses

Primary practice location

5 Stella Ter
Albany, NY 12205-4812

Mailing address

5 Stella Ter
Albany, NY 12205-4812
Phone (315) 717-2267

Other practice location 1

40 N Main Ave
Albany, NY 12203-1481
Phone (315) 717-2267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240212000297 NY Practitioner - Mental Health Counselor 9234572827 Practice locations: Albany, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4985NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1982143822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STELLA TER",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054812",
            "telephone_number": "315-717-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 STELLA TER",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054812",
            "telephone_number": "315-717-2267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 N Main Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122031481",
            "country_code": "US",
            "telephone_number": "315-717-2267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUQUIS",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC, CAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "4985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.