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

Mr. Mario Lavell Luckett, LPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1386352839

Mr. Mario Lavell Luckett, LPC is a Mental Health Counselor in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations.

Years since qualifying
4
In the registry since
2022
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1616 N Damen Ave Ste 301
Chicago, IL 60647-5536
Phone: (630) 428-7890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2512 N Avers Ave Apt 2, Chicago, IL 60647-1016 — (312) 860-9342

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1386352839
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedNovember 14, 2022
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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