Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lucid Lane Providers, PC

Organization Mental Health Counselor · NPI 1912507021

Lucid Lane Providers, PC is a Mental Health Counselor in San Jose, California. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
8
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3251 Place Du Jardin Optional
San Jose, CA 95148-9514
Phone: (630) 589-2730
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1007 Goldfinch Ave, Sugar Land, TX 77478-3452 — (800) 604-2461

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Clinical Psychologist Taxonomy 103TC0700X
Group Psychotherapy Psychologist Taxonomy 103TP2701X
Clinical Social Worker Taxonomy 1041C0700X
Internal Medicine Physician Taxonomy 207R00000X
Occupational Medicine Physician Taxonomy 2083X0100X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1912507021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mubeena Siddiqui — Director Of Rcm And Compliance · (630) 589-2730
Other names Lucid Lane Providers, P.C.
NPI enumeratedOctober 28, 2020
Last updated in NPPESJanuary 29, 2021
Certification dateOctober 28, 2020
Mailing address3251 Place Du Jardin, San Jose, CA 95148-3851

Other providers in San Jose