Organization Active NPI

Child Counseling Corner, PLLC

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1083574891
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHILD COUNSELING CORNER, PLLC
Practice address
4715 NW 53Rd Ave Ste 2
Gainesville, FL 32653-4811
Phone
(352) 562-7529
NPI assigned
Nov 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Kristina Lutz, LMHCNPI 1629668447
Title
Owner
Phone
(352) 562-7529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4715 NW 53Rd Ave Ste 2
Gainesville, FL 32653-4811

Mailing address

4715 NW 53Rd Ave Ste 2
Gainesville, FL 32653-4811
Phone (352) 562-7529

National Provider Directory

National Provider Directory

Locations

4715 NW 53rd Ave
Ste 2
Gainesville, FL 32653
Phone (352) 562-7529

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1083574891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 NW 53RD AVE STE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534811",
            "telephone_number": "352-562-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 NW 53RD AVE STE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534811",
            "telephone_number": "352-562-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD COUNSELING CORNER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-562-7529",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.