BLAKE ANTHONY LUCAS (NPI# 1427697366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427697366 |
| Entity Type | Individual |
| Full Name | BLAKE ANTHONY LUCAS |
| Practice Address |
2049 Skyline Dr Lemon Grove CA 91945-4221 |
| Mailing Address |
1400 N Johnson Ave Ste 101 El Cajon CA 92020-1651 |
| Practice Telephone | 6194657303 |
| Practice Fax Number | 6196442503 |
| Mailing Telephone | 6194420277 |
| Mailing Fax Number | 6194421592 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2049 SKYLINE DR |
| City | LEMON GROVE |
| State | CA |
| Zip Code | 91945-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265550933 | James Corley | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2007-03-27 |
| 1881294957 | Chelsea Anne Price | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-10-28 |
| 1851991087 | Tony Rico | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-10-27 |
| 1720687437 | Jonathan Ruthles Boyd | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-10-23 |
| 1104424472 | Virginia Dolford | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-10-09 |
| 1417554700 | Courtney Sucameli | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-10-08 |
| 1376140012 | Kathy Monserrat Calderon | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-10-06 |
| 1972110070 | Leanne Marie Perryman | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-09-23 |
| 1205449097 | Bernard Chen | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-08-31 |
| 1083223994 | Maria Rebecca Chavez | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093347759 | Myisha Michelle Holloway-griffin | Counselor | 2409 Skyline Dr, Lemon Grove, CA 91945 | 2020-02-10 |
| 1831737626 | Jennifer Murillo | Counselor | 2049 Skyline Dr. Lemon Grove Ca, 91945, Lemon Grove, CA 91945 | 2019-12-12 |
| 1487193140 | Golden State Nem Transportation.llc | Non-emergency Medical Transport (VAN) | 7107 Broadway Unit 158, Lemon Grove, CALIFORNIA 91945 | 2017-02-14 |
| 1700323581 | Juuni Transportation | Non-emergency Medical Transport (VAN) | 7138 Westview Pl #a, Lemon Grove, CA 91945 | 2017-01-31 |
| 1568815249 | Danyelle Goldstein | Substance Abuse Rehabilitation Facility | 2049 Sklyline Dr, Lemon Grove, CA 91945 | 2016-07-19 |
| 1942550397 | Debora L Stolz | Case Manager/Care Coordinator | 3434 Lemon Grove St, Lemon Grove, CA 91945 | 2012-09-13 |
| 1336449321 | Leslie Ann Warner | Counselor | 7526 Mt. Vernon St, Lemon Grove, CA 91945 | 2010-10-25 |
| 1013235126 | Mcalister Institute | Case Management | 2049 Skyline Drive, Lemon Grove, CA 91945 | 2010-05-13 |
| 1639389554 | Jarbou & Jarbou, Inc | Secured Medical Transport (VAN) | 6975 North Ave, Lemon Grove, CA 91945 | 2007-05-22 |
| 1275656555 | Amy L Stewart | Physical Therapist | 4171 Las Palmas Square, San Diego, CA 91945 | 2007-04-09 |
| Find all providers in zip 91945 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179135 | Pamela S Stoltz | Counselor | 2049 Skyline Dr # 5b, Lemon Grove, CA 91945-4221 | 2020-03-12 |
| 1093347759 | Myisha Michelle Holloway-griffin | Counselor | 2409 Skyline Dr, Lemon Grove, CA 91945 | 2020-02-10 |
| 1831737626 | Jennifer Murillo | Counselor | 2049 Skyline Dr. Lemon Grove Ca, 91945, Lemon Grove, CA 91945 | 2019-12-12 |
| 1073083697 | Rachel Malveaux | Counselor | 2045 Skyline Drive, Lemon Grove, CA 92045 | 2018-11-26 |
| 1295185767 | Lorse Gilbert | Counselor | 1876 Primera St, Lemon Grove, CA 91945-3911 | 2016-06-15 |
| 1710212592 | Amanda Rae Westcott | Counselor | 2219 Odessa Ct, Lemon Grove, CA 91945-3609 | 2009-10-12 |
| 1841476751 | Lisa-anne Vargas | Counselor | 3245 College Pl Apt 10, Lemon Grove, CA 91945-1448 | 2008-01-10 |
| 1891902078 | Cheryl Wilson | Counselor | 3280 Olive St, 28, Lemon Grove, CA 91945-1767 | 2007-05-17 |
| 1265550933 | James Corley | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2007-03-27 |
| 1790811354 | Terri L Garcia | Counselor | 7150 Broadway, Lemon Grove, CA 91945-1401 | 2007-02-26 |
| Find all providers in LEMON GROVE | ||||
| City | LEMON GROVE |
| Zip Code | 91945 |
Please comment or provide details below to improve the information on BLAKE ANTHONY LUCAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.