MR. LUCAS JOHN MOULDER MA, LPCC
NPI 1386150142
Counselor - Professional in Lakeville, MN

Active since December 15, 2017PECOS Enrolled
7580 160TH ST W, LAKEVILLE, MN 55044(952) 892-0897(952) 435-6797 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Lucas John Moulder Ma, Lpcc NPPES

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

MR. LUCAS JOHN MOULDER MA, LPCC (NPI 1386150142) is an individual professional provider in Lakeville, Minnesota, licensed in Minnesota (CC01674) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386150142
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. LUCAS JOHN MOULDERCredential: MA, LPCC
Location Address7580 160TH ST WLakeville, MN 55044-8348
Mailing Address7580 160th St WLakeville, MN 55044-8348 · (952) 892-0897 · Fax (952) 435-6797
Fax(952) 435-6797
Sole ProprietorYes
Enumeration DateDecember 15, 2017
NPI 1386150142 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 MN · CC01674
7580 160TH ST W, Lakeville, MN 55044

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Lucas John Moulder Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Psychologist
7580 160TH ST W
LAKEVILLE, MN 55044
Counselor (Professional)
7580 160TH ST W
LAKEVILLE, MN 55044
Counselor (Professional)
7580 160TH ST W
LAKEVILLE, MN 55044
Marriage & Family Therapist
7580 160TH ST W
LAKEVILLE, MN 55044
Marriage & Family Therapist
7580 160TH ST W
LAKEVILLE, MN 55044
Counselor (Professional)
7580 160TH ST W
LAKEVILLE, MN 55044
Marriage & Family Therapist
7580 160TH ST W
LAKEVILLE, MN 55044
Social Worker (Clinical)
7580 160TH ST W
LAKEVILLE, MN 55044

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 Lucas Moulder's NPI number?

The NPI number for Lucas Moulder is 1386150142. It was assigned to this individual provider in the NPPES registry on December 15, 2017.

Where is Lucas Moulder located?

Lucas Moulder practices at 7580 160th St W, Lakeville, MN 55044. The listed phone number is (952) 892-0897.

What is Lucas Moulder's specialty?

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

Is Lucas Moulder enrolled in Medicare?

Yes. Lucas Moulder is registered in the Medicare PECOS enrollment system.

What insurance does Lucas Moulder accept?

Health plans from HealthPartners and Providence Health Plan list Lucas Moulder 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 Lucas Moulder was last updated on December 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.