CHARLES LUCKY LLPC
NPI 1073258869
Counselor - Professional in Lansing, MI

Active since May 05, 2022PECOS Enrolled
812 E JOLLY RD, LANSING, MI 48910(517) 346-8200 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Lucky Llpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES LUCKY LLPC (NPI 1073258869) is an individual professional provider in Lansing, Michigan, licensed in Michigan (6451019503) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1073258869
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCHARLES LUCKYCredential: LLPC
Location Address812 E JOLLY RDLansing, MI 48910-6818
Mailing Address812 E Jolly RdLansing, MI 48910-6818 · (517) 346-8200
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 5, 2022
NPPES CertifiedMay 5, 2022
NPI 1073258869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6451019503
812 E JOLLY RD, Lansing, MI 48910

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Charles Lucky Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355822974
PECOS Enrollment IDI20260223000618
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
812 E JOLLY RD, G-14
LANSING, MI 48910
Licensed Practical Nurse
812 E JOLLY RD
LANSING, MI 48910
Social Worker
812 E JOLLY RD, STE G-10
LANSING, MI 48910
Social Worker (Clinical)
812 E JOLLY RD, STE G14
LANSING, MI 48910
Social Worker (Clinical)
812 E JOLLY RD, SUITE 215
LANSING, MI 48910
Registered Nurse
812 E JOLLY RD, STE 112
LANSING, MI 48910
Social Worker (Clinical)
812 E JOLLY RD, 215A
LANSING, MI 48910
Counselor (Professional)
812 E JOLLY RD, STE 216
LANSING, MI 48910

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 Charles Lucky's NPI number?

The NPI number for Charles Lucky is 1073258869. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Where is Charles Lucky located?

Charles Lucky practices at 812 E Jolly Rd, Lansing, MI 48910. The listed phone number is (517) 346-8200.

What is Charles Lucky's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Charles Lucky enrolled in Medicare?

Yes. Charles Lucky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Lucky was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.