Active NPI
Stephen John Luzar, M.A., L.P.
- Counseling Psychologist
- Redwood Falls, MN
National Provider Identifier
1376755579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP 5228
- Practice address
- 126 E 2ND St
Redwood Falls, MN 56283-1695 - Phone
- (507) 616-1019
- Fax
- (507) 616-1032
- NPI assigned
- May 3, 2007
- Last updated
- Oct 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP 5228 | MN | Primary |
Addresses
Primary practice location
126 E 2ND St
Redwood Falls, MN 56283-1695
Mailing address
P. O. Box 531
Redwood Falls, MN 56283
Phone (507) 616-1019
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 5228 | MN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1376755579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 531",
"city": "REDWOOD FALLS",
"state": "MN",
"postal_code": "56283",
"telephone_number": "507-616-1019",
"fax_number": "507-616-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 E 2ND ST",
"city": "REDWOOD FALLS",
"state": "MN",
"postal_code": "562831695",
"telephone_number": "507-616-1019",
"fax_number": "507-616-1032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUZAR",
"first_name": "STEPHEN",
"middle_name": "JOHN",
"credential": "M.A., L.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP 5228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.