LILY LU
NPI 1255731907
Counselor - Mental Health in San Jose, CA

NPI Status: Active since August 31, 2014

Contact Information

1900 CAMDEN AVE STE 101
SAN JOSE, CA
ZIP 95124
Phone: (408) 797-7067

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • PECOS Enrolled
  • Opted-Out Medicare

About LILY LU

This page provides the complete NPI Profile along with additional information for Lily Lu, a provider established in San Jose, California with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1255731907 assigned on August 2014. The practitioner's primary taxonomy code is 101YM0800X with license number 82214 (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1255731907
Provider Name
LILY LU
Gender
Female
Entity Type
Individual
Location Address
1900 CAMDEN AVE STE 101 SAN JOSE, CA 95124
Location Phone
(408) 797-7067
Mailing Address
1900 CAMDEN AVE STE 101 SAN JOSE, CA 95124
Mailing Phone
(408) 797-7067
Is Sole Proprietor?
Yes
Enumeration Date
08-31-2014
Last Update Date
03-26-2021
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A mental health counselor like Lily Lu provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Lily Lu opted out of Medicare effective on 01-01-2024 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
82214
License State
CA

Medicare Participation & PECOS Enrollment Status

Lily Lu is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-01-2024

  • Opt-Out End Date: 01-01-2026

  • Eligible to Order and Refer? No

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for LILY LU

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255731907
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105143290
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 4 + 3 + 2 + 9 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1255731907 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063090900GOLIS SERVICES L.L.C
Organization
Non-emergency Medical Transport (VAN)1900 CAMDEN AVE STE 101
SAN JOSE, CA 95124
(415) 494-9242
1851971022PANDIA PHARMACY INC.
Organization
Pharmacy1900 CAMDEN AVE STE 101
SAN JOSE, CA 95124
(650) 437-0561
1285034066 STACY XIE CHEN
Individual
Pharmacist1900 CAMDEN AVE STE 101
SAN JOSE, CA 95124
(650) 437-0561
1386377919MUNDUS SERVICES LLC
Organization
Non-emergency Medical Transport (VAN)1900 CAMDEN AVE STE 101
SAN JOSE, CA 95124
(415) 619-7660
1881488765VITAL CURE HEALTH, A NURSING PROFESSIONAL CORPORATION
Organization
Nurse Practitioner1900 CAMDEN AVE STE 101
SAN JOSE, CA 95124
(408) 499-3491

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255731907, enumerated in the NPI registry as an "individual" on August 31, 2014

The provider is located at 1900 Camden Ave Ste 101 San Jose, Ca 95124 and the phone number is (408) 797-7067

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

No, the provider signed an affidavit on January 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2026.

This NPI record was last updated on August 31, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.