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DR. JEFFREY BLAKE LUCKETT PHD
NPI 1851482707
Psychologist - Clinical in Roanoke, VA

Active since September 27, 2006PECOS Enrolled
3635 MANASSAS DR, ROANOKE, VA 24018(540) 774-4686(540) 989-8893 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeffrey Blake Luckett Phd NPPES

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

DR. JEFFREY BLAKE LUCKETT PHD (NPI 1851482707) is an individual clinical provider in Roanoke, Virginia, licensed in Virginia (0810001414) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851482707
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JEFFREY BLAKE LUCKETTCredential: PHD
Location Address3635 MANASSAS DRRoanoke, VA 24018-4031
Mailing Address3635 Manassas DrRoanoke, VA 24018-4031 · (540) 774-4686 · Fax (540) 989-8893
Phone(540) 774-4686
Fax(540) 989-8893
Sole ProprietorYes
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJanuary 11, 2012
✔ NPI 1851482707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810001414
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3635 MANASSAS DR, Roanoke, VA 24018
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Other Identifiers 2

Other046086VA · Anthem
Medicare ID-Type Unspecified680000035VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey Blake Luckett Phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

CHRISTY M CUNDIFF LPC, PHD CAND.
Counselor (Professional)
3635 MANASSAS DR
ROANOKE, VA 24018
Roanoke County (540) 774-4686
ALFRED LLOYD ROBRECHT
Social Worker (Clinical)
3635 MANASSAS DR
ROANOKE, VA 24018
Roanoke County (540) 774-4686
DR. HILDY G. GETZ LPC, LMFT
Counselor (Mental Health)
3635 MANASSAS DR
ROANOKE, VA 24018
Roanoke County (540) 774-4686
NATALIE ANNE KERSCHNER
Counselor (Professional)
3635 MANASSAS DR
ROANOKE, VA 24018
Roanoke County (540) 774-4686
ANDREW C TAYLOR LPC
Counselor (Professional)
3635 MANASSAS DR
ROANOKE, VA 24018
Roanoke County (540) 774-4686
DR. LOUIS ANTHONY PERROTT PH.D.
Psychologist (Clinical)
3635 MANASSAS DR
ROANOKE, VA 24018
Roanoke County (540) 989-8896
MS. ANNE LUSBYDENHAM LCSW
Counselor (Mental Health)
3635 MANASSAS DR
ROANOKE, VA 24018
Roanoke County (540) 774-4686
DR. RICHARD J. MILAN JR. PH.D.
Psychologist (Clinical)
3635 MANASSAS DR
ROANOKE, VA 24018
Roanoke County (540) 774-4686

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 Jeffrey Luckett's NPI number?

The NPI number for Jeffrey Luckett is 1851482707. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Jeffrey Luckett located?

Jeffrey Luckett practices at 3635 Manassas Dr, Roanoke, VA 24018. The listed phone number is (540) 774-4686.

What is Jeffrey Luckett's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jeffrey Luckett enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jeffrey Luckett was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.