LILY LU
NPI 1255731907
Counselor - Mental Health in San Jose, CA

Q: What is Lily Lu's NPI number?

The NPI number for Lily Lu is 1255731907. It was assigned to this individual provider in the NPPES registry on August 31, 2014.

Q: What is Lily Lu's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Lily Lu enrolled in Medicare?

No. Lily Lu has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lily Lu was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 31, 2014Opted out of Medicare · through Jan 1, 2028

1900 CAMDEN AVE STE 101, SAN JOSE, CA 95124(408) 797-7067 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2021, Sep 9, 2018 (2 updates tracked since 2018).

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About Lily Lu NPPES

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

LILY LU (NPI 1255731907) is an individual mental health provider in San Jose, California, licensed in California (82214) and active in the NPI registry since August 2014. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1255731907

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLILY LU

Location Address1900 CAMDEN AVE STE 101San Jose, CA 95124-2944

Mailing Address1900 Camden Ave Ste 101San Jose, CA 95124-2944 · (408) 797-7067

Phone(408) 797-7067

Sole ProprietorYes

Enumeration DateAugust 31, 2014

Last NPPES UpdateMarch 26, 20212 updates tracked since enumeration

NPPES CertifiedMarch 26, 2021

✔ NPI 1255731907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · 82214

1900 CAMDEN AVE STE 101, San Jose, CA 95124

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lily Lu has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

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

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