CHARLES LUCKY LLPC
NPI 1073258869
Counselor - Professional in Lansing, MI
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charles Lucky Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Charles Lucky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lansing, MI 48910
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Community Mental Health Authority Of Clinton Eaton Ingham Counties
- 69 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.
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.
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.
Which organization bills Medicare for Charles Lucky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Lucky reassigns Medicare benefits to Community Mental Health Authority Clinton Eaton Ingham Counties (Lansing, MI). 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 Charles Lucky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Lucky accept?
Health plans from Oscar Insurance Company and Priority Health list Charles Lucky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Charles Lucky, LLPC · NPI 1073258869
Professional provider in Lansing, Michigan. Individual provider, active in the CMS NPPES registry since May 5, 2022.
## Identity
- **NPI:** 1073258869 (Entity type: Individual)
- **Enumerated:** May 5, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6451019503 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 812 E JOLLY RD, Lansing, MI 48910-6818
- **Phone:** (517) 346-8200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Community Mental Health Authority Clinton Eaton Ingham Counties (NPI 1265483457, Lansing, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1073258869) · Data from the CMS NPPES public registry.