NICKI LYNN LUGO LPC
NPI 1609457019
Counselor - Mental Health in Phoenix, AZ

Q: What is Nicki Lugo's NPI number?

The NPI number for Nicki Lugo is 1609457019. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Q: What is Nicki Lugo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicki Lugo was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 April 16, 2021PECOS Enrolled

4131 N 24TH ST STE B102, PHOENIX, AZ 85016(480) 882-4545(602) 903-7091 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicki Lynn Lugo Lpc NPPES

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

NICKI LYNN LUGO LPC (NPI 1609457019) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LPC23434) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Henderson.

NPPES Registry Identity

NPI1609457019

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameNICKI LYNN LUGOCredential: LPC

Location Address4131 N 24TH ST STE B102Phoenix, AZ 85016-6231

Mailing Address7500 N Dreamy Draw Dr Ste 145Phoenix, AZ 85020-4668 · (480) 882-4545

Phone(480) 882-4545

Fax(602) 903-7091

Sole ProprietorNo

Enumeration DateApril 16, 2021

Last NPPES UpdateJanuary 14, 2025

NPPES CertifiedJanuary 14, 2025

✔ NPI 1609457019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AZ · LPC23434

Also ListedCounselorTaxonomy 101Y00000X · License LAC-19255 (AZ)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License CI3342 (NV)

4131 N 24TH ST STE B102, Phoenix, AZ 85016

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Secondary Practice Location 1

Location 12920 N Green Valley PkwyHenderson, NV 89014-0406 · Phone (702) 508-5920

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

Nicki Lynn Lugo 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.

Other Providers at the Same Location NPPES 19

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

WAYNE ALBERT DAVIS D.O.

Family Medicine