Individual provider Active NPI

Nelle M Stephan-Lutz, EDS, MHC, LMFT

  • Marriage & Family Therapist
  • Gainesville, FL
National Provider Identifier
1376536102
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT 1867 Issued in FL
Practice address
2630 NW 41St St
Suite D-3
Gainesville, FL 32606-7495
Phone
(352) 378-7526
Fax
(352) 378-7530
NPI assigned
Aug 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 6477 FL
Marriage & Family Therapist 106H00000X MT 1867 FL Primary

Addresses

Primary practice location

2630 NW 41St St
Suite D-3
Gainesville, FL 32606-7495

Mailing address

2630 NW 41St St
Suite D-3
Gainesville, FL 32606-7495
Phone (352) 378-7526

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

LicenseStateTypeSpecialty
MH 6477FLMDMental Health Counselor
MT 1867FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nelle Stephan-Lutz, Eds, LMFT, LMHC Mental Health CurrentSince Jun 5, 2022 Accepting new patients

Locations

2630 NW 41st St
Ste D3
Gainesville, FL 32606
Phone (352) 372-9797

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376536102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 NW 41ST ST",
            "address_2": "SUITE D-3",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067495",
            "telephone_number": "352-378-7526",
            "fax_number": "352-378-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 NW 41ST ST",
            "address_2": "SUITE D-3",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067495",
            "telephone_number": "352-378-7526",
            "fax_number": "352-378-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHAN-LUTZ",
        "first_name": "NELLE",
        "middle_name": "M",
        "credential": "EDS, MHC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 6477",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT 1867",
            "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 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.

Verify at the official NPI Registry.