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MR. MARIO LAVELL LUCKETT LPC
NPI 1386352839
Counselor - Professional in Chicago, IL

Active since November 14, 2022PECOS Enrolled
1616 N DAMEN AVE STE 301, CHICAGO, IL 60647(630) 428-7890 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2024, Nov 14, 2022 (2 updates tracked since 2022).

About Mr. Mario Lavell Luckett Lpc NPPES

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

MR. MARIO LAVELL LUCKETT LPC (NPI 1386352839) is an individual professional provider in Chicago, Illinois and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1386352839
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MARIO LAVELL LUCKETTCredential: LPC
Location Address1616 N DAMEN AVE STE 301Chicago, IL 60647-5536
Mailing Address2512 N Avers Ave Apt 2Chicago, IL 60647-1016 · (312) 860-9342
Phone(630) 428-7890
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 14, 2022
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1386352839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1616 N DAMEN AVE STE 301, Chicago, IL 60647
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Secondary Practice Location 1

Location 12512 N Avers Ave Apt 2Chicago, IL 60647-1016 · Phone (312) 860-9342

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. Mario Lavell Luckett Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577031251
PECOS Enrollment IDI20260512000448
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 5

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

AMANDA DANIELLE PIERSON LCSW
Social Worker
1616 N DAMEN AVE STE 301
CHICAGO, IL 60647
Cook County (312) 761-4720
SHELBY LYNNE DURAN LCSW
Social Worker (Clinical)
1616 N DAMEN AVE STE 301
CHICAGO, IL 60647
Cook County (888) 428-7890
IAN CHRISTENSEN LSW
Social Worker (Clinical)
1616 N DAMEN AVE STE 301
CHICAGO, IL 60647
Cook County (888) 926-3251
ANNE RADAKOVICH LCPC
Counselor (Professional)
1616 N DAMEN AVE STE 301
CHICAGO, IL 60647
Cook County (630) 428-7890
KIMBERLY A CURTIS LCPC
Counselor (Professional)
1616 N DAMEN AVE STE 301
CHICAGO, IL 60647
Cook County (888) 428-7890

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 Mario Luckett's NPI number?

The NPI number for Mario Luckett is 1386352839. It was assigned to this individual provider in the NPPES registry on November 14, 2022.

Where is Mario Luckett located?

Mario Luckett practices at 1616 N Damen Ave Ste 301, Chicago, IL 60647. The listed phone number is (630) 428-7890.

What is Mario Luckett's specialty?

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

Is Mario Luckett enrolled in Medicare?

Yes. Mario Luckett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mario Luckett was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.