Provider Demographics
NPI:1023558095
Name:LUCAS, RACHEL C (LPC, CAS)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:C
Last Name:LUCAS
Suffix:
Gender:F
Credentials:LPC, CAS
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:C
Other - Last Name:BRANDSMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3306 STOVER ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525
Mailing Address - Country:US
Mailing Address - Phone:970-372-7670
Mailing Address - Fax:
Practice Address - Street 1:300 E. HORSETOOTH RD.
Practice Address - Street 2:SUITE 200
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525
Practice Address - Country:US
Practice Address - Phone:970-818-2659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-24
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACA.0006700101YA0400X
COACC.0998341101YA0400X
COLPCC.0014330101YP2500X
COLPC.0013958101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)