Individual provider Active NPI

John P Lutz, MCAT

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1366522773
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC000725 Issued in PA
Practice address
4200 Monument Rd
Belmont Center,
Philadelphia, PA 19131-1625
Phone
(215) 951-8127
Fax
(215) 581-3827
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PC000725 PA Primary

Addresses

Primary practice location

4200 Monument Rd
Belmont Center,
Philadelphia, PA 19131-1625

Mailing address

1238 Callowhill St
804
Philadelphia, PA 19123-3613
Phone (215) 951-8127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240312000576 PA Practitioner - Mental Health Counselor 5294013959 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Belmont Behavioral Hospital, LLC Current Accepting new patients
Belmont Behavioral Hospital, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

4200 Monument Rd
Philadelphia, PA 19131
Phone (215) 456-6611

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366522773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 CALLOWHILL ST",
            "address_2": "804",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233613",
            "telephone_number": "215-951-8127",
            "fax_number": "215-581-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 MONUMENT RD",
            "address_2": "BELMONT CENTER,",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311625",
            "telephone_number": "215-951-8127",
            "fax_number": "215-581-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "MCAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC000725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.