Individual provider Active NPI

Alicia Lucas

  • Counselor
  • Charleston, SC
National Provider Identifier
1982340642
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
7870 Issued in SC
Practice address
4000 Faber Place Dr
Charleston, SC 29405-8585
Phone
(312) 476-9064
Fax
(312) 900-8230
NPI assigned
May 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 7870 SC Primary

Addresses

Primary practice location

4000 Faber Place Dr
Charleston, SC 29405-8585

Mailing address

PO Box 752123
Houston, TX 77275-2123
Phone (312) 476-9064

Other practice location 1

170 Meeting St
Charleston, SC 29401-3153
Phone (312) 476-9064

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
7870SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1982340642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752123",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772752123",
            "telephone_number": "312-476-9064",
            "fax_number": "312-900-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 FABER PLACE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294058585",
            "telephone_number": "312-476-9064",
            "fax_number": "312-900-8230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Meeting St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294013153",
            "country_code": "US",
            "telephone_number": "312-476-9064",
            "fax_number": "312-900-8230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "7870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.