Active NPI
Benton Lutz, EDS LPC
- Psychologist
- Beaufort, SC
National Provider Identifier
1245270008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2447
- Practice address
- 811 1/2 North St
Beaufort, SC 29902 - Phone
- (843) 986-0569
- Fax
- (843) 986-0560
- NPI assigned
- Jun 8, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2447 | SC | Primary |
Addresses
Primary practice location
811 1/2 North St
Beaufort, SC 29902
Mailing address
PO Box 396
Beaufort, SC 29901
Phone (843) 986-0569
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2447 | SC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245270008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 396",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "29901",
"telephone_number": "843-986-0569",
"fax_number": "843-986-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 1/2 NORTH ST",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "29902",
"telephone_number": "843-986-0569",
"fax_number": "843-986-0560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "BENTON",
"name_prefix": "Mr.",
"credential": "EDS LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SC",
"license": "2447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.