MR. LUKAS LEE PEDERSON LPC
NPI 1437861523
Counselor - Professional in Kalamazoo, MI

Active since December 20, 2022PECOS Enrolled
5985 W MAIN ST, KALAMAZOO, MI 49009(269) 873-5853 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Lukas Lee Pederson Lpc NPPES

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

MR. LUKAS LEE PEDERSON LPC (NPI 1437861523) is an individual professional provider in Kalamazoo, Michigan, licensed in Michigan (6401223125) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437861523
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. LUKAS LEE PEDERSONCredential: LPC
Location Address5985 W MAIN STKalamazoo, MI 49009-8708
Mailing Address5065 Stoney Brook RdKalamazoo, MI 49009-3843 · (269) 873-5853
Sole ProprietorYes
Enumeration DateDecember 20, 2022
Last NPPES UpdateApril 27, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1437861523 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 · 6401223125
5985 W MAIN ST, Kalamazoo, MI 49009

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)

Mr. Lukas Lee Pederson Lpc 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.

Medicare Billing Reassignment

Medicare enrollment records show Lukas Pederson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
1591 W CENTRE AVE, SUITE 103
Portage, MI 49024
  • Reassigned Medicare billing, Michigan enrollment
  • 3 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 3

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

Counselor (Professional)
5985 W MAIN ST, SUITE 101
KALAMAZOO, MI 49009
Counselor (Professional)
5985 W MAIN ST, SUITE 809
KALAMAZOO, MI 49009
Social Worker (Clinical)
5985 W MAIN ST
KALAMAZOO, MI 49009

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 Lukas Pederson's NPI number?

The NPI number for Lukas Pederson is 1437861523. It was assigned to this individual provider in the NPPES registry on December 20, 2022.

Where is Lukas Pederson located?

Lukas Pederson practices at 5985 W Main St, Kalamazoo, MI 49009. The listed phone number is (269) 873-5853.

What is Lukas Pederson's specialty?

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

Is Lukas Pederson enrolled in Medicare?

Yes. Lukas Pederson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lukas Pederson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lukas Pederson reassigns Medicare benefits to Lindsay P South, Ma ,pllc (Portage, 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 Lukas Pederson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lukas Pederson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Lukas Pederson 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 Lukas Pederson was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.