Lucid Lane Providers, P.C.
NPI 1912507021 · Mental Health Counselor · San Jose, CA
Lucid Lane Providers, P.C. is a Mental Health Counselor organization in San Jose, CA (NPI 1912507021).
Provider details
- NPI number
- 1912507021
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mubeena Siddiqui, Director of Rcm and Compliance(630) 589-2730
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Group Psychotherapy Psychologist103TP2701X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Occupational Medicine Physician2083X0100X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lucid Lane Providers, P.C.
Additional practice locations (1)
- 1007 Goldfinch AveSugar Land, TX 77478-3452Phone: (800) 604-2461
Registry dates
- Enumerated
- 2020-10-28
- Last updated
- 2021-01-29
- Certified
- 2020-10-28
Frequently asked questions
- What is Lucid Lane Providers, P.C.'s NPI number?
- Lucid Lane Providers, P.C.'s National Provider Identifier (NPI) is 1912507021, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lucid Lane Providers, P.C.?
- Lucid Lane Providers, P.C. is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Lucid Lane Providers, P.C. located?
- Lucid Lane Providers, P.C.'s practice location on file with NPPES is 3251 Place Du Jardin, San Jose, CA 95148-9514.
- What is Lucid Lane Providers, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Lucid Lane Providers, P.C. is (630) 589-2730.
- Who is the authorized official for Lucid Lane Providers, P.C.?
- The authorized official listed on Lucid Lane Providers, P.C.'s NPPES record is Mubeena Siddiqui, Director of Rcm and Compliance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lucid Lane Providers, P.C.'s NPI active?
- Yes — Lucid Lane Providers, P.C.'s NPI (1912507021) is active in the NPPES registry as of the last update on 2021-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.