Individual provider Active NPI

Brianne Lutterman, MA, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1043877491
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70801 Issued in TX
Practice address
5522 Lone Star Pkwy Ste 303
San Antonio, TX 78253-6722
Phone
(210) 614-4990
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 70801 TX Primary

Addresses

Primary practice location

5522 Lone Star Pkwy Ste 303
San Antonio, TX 78253-6722

Mailing address

17503 La Cantera Pkwy Ste 104-627
San Antonio, TX 78257-8207
Phone (210) 614-4990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
70801TXMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vcounselors PLLC Professional CurrentSince Feb 24, 2024 Accepting new patients

Locations

4201 Medical Dr
Ste 330
San Antonio, TX 78229
Phone (210) 614-4990

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1043877491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17503 LA CANTERA PKWY STE 104-627",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578207",
            "telephone_number": "210-614-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 LONE STAR PKWY STE 303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536722",
            "telephone_number": "210-614-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTERMAN",
        "first_name": "BRIANNE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.