Individual provider Active NPI

Stefanie Nichole Luttrell, LPC

  • Professional Counselor
  • Corpus Christi, TX
National Provider Identifier
1053153528
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
93780 Issued in TX
Practice address
4444 Corona Dr Ste 150
Corpus Christi, TX 78411-4300
Phone
(361) 389-9205
NPI assigned
Jun 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 93780 TX Primary

Addresses

Primary practice location

4444 Corona Dr Ste 150
Corpus Christi, TX 78411-4300

Mailing address

6614 Mountain Wood Dr
Corpus Christi, TX 78413-4648
Phone (361) 585-3866

Other practice location 1

6614 Mountain Wood Dr
Corpus Christi, TX 78413-4648
Phone (361) 389-9205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723001740 TX Practitioner - Mental Health Counselor 5092221309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Turnwell Mental Health of South Texas, PLLCGroup PAC ID 0547780413, 20 clinicians

Practice addresses (Care Compare)

3120 Ctr Point Dr
Edinburg, TX 78539-4804
Phone (956) 329-2654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
93780TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Turnwell Mental Health of South Texas, PLLC Single Specialty CurrentSince Jul 16, 2025 Accepting new patients
St Health TX, P.a. Past Accepting new patients

Locations

4444 Corona Dr
Ste 130
Corpus Christi, TX 78411
Phone (361) 500-4207

5656 S Staples St
Ste 280
Corpus Christi, TX 78411
Phone (361) 356-1234

Organizations & group practices 2

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": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1053153528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 MOUNTAIN WOOD DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784134648",
            "telephone_number": "361-585-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR STE 150",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114300",
            "telephone_number": "361-389-9205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6614 Mountain Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784134648",
            "country_code": "US",
            "telephone_number": "361-389-9205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUTTRELL",
        "first_name": "STEFANIE",
        "middle_name": "NICHOLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.