ETHAN D LUCAS
NPI 1992506554
Peer Specialist in Malden, MO

Q: What is Ethan Lucas's NPI number?

The NPI number for Ethan Lucas is 1992506554. It was assigned to this individual provider in the NPPES registry on March 20, 2025.

Q: What is Ethan Lucas's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Lucas was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 March 20, 2025

500 BARRETT THRIVE, MALDEN, MO 63863(573) 888-5925 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ethan D Lucas NPPES

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

ETHAN D LUCAS (NPI 1992506554) is an individual peer specialist in Malden, Missouri and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1992506554

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameETHAN D LUCAS

Location Address500 BARRETT THRIVEMalden, MO 63863

Mailing Address500 Barrett ThriveMalden, MO 63863

Phone(573) 888-5925

Sole ProprietorNo

Enumeration DateMarch 20, 2025

NPPES CertifiedMarch 18, 2025

✔ NPI 1992506554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

500 BARRETT THRIVE, Malden, MO 63863

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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 Ethan Lucas's NPI number?

The NPI number for Ethan Lucas is 1992506554. It was assigned to this individual provider in the NPPES registry on March 20, 2025.

Where is Ethan Lucas located?

Ethan Lucas practices at 500 Barrett Thrive, Malden, MO 63863. The listed phone number is (573) 888-5925.

What is Ethan Lucas's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Ethan Lucas was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.