MS. SHANAY LUCIOUS MSW
NPI 1063719490
Counselor - Mental Health in Long Beach, CA
About Ms. Shanay Lucious Msw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHANAY LUCIOUS MSW (NPI 1063719490) is an individual mental health provider in Long Beach, California and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Shanay Lucious Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shanay Lucious reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shanay Lucious's NPI number?
The NPI number for Shanay Lucious is 1063719490. It was assigned to this individual provider in the NPPES registry on February 21, 2011.
Where is Shanay Lucious located?
Shanay Lucious practices at PO Box 4732, Long Beach, CA 90804. The listed phone number is (657) 243-0711.
What is Shanay Lucious's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Shanay Lucious enrolled in Medicare?
Yes. Shanay Lucious is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shanay Lucious's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shanay Lucious reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shanay Lucious's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shanay Lucious was last updated on January 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Shanay Lucious, MSW · NPI 1063719490
Mental Health provider in Long Beach, California. Individual provider, active in the CMS NPPES registry since February 21, 2011.
## Identity
- **NPI:** 1063719490 (Entity type: Individual)
- **Enumerated:** February 21, 2011
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** PO BOX 4732, Long Beach, CA 90804-0732
- **Phone:** (657) 243-0711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063719490) · Data from the CMS NPPES public registry.