Active NPI
Lutz Center for Counseling and Assessment, LLC
- School Psychologist
- Gulf Breeze, FL
National Provider Identifier
1396055331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS795
- Legal business name
- LUTZ CENTER FOR COUNSELING AND ASSESSMENT, LLC
- Practice address
- 3612 Quail Run Rd
Gulf Breeze, FL 32563-2836 - Phone
- (850) 910-1806
- Fax
- (866) 960-8806
- NPI assigned
- Oct 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joshua A Lutz, ED.S.
- Title
- Owner
- Phone
- (850) 910-1806
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS795 | FL | Primary |
Addresses
Primary practice location
3612 Quail Run Rd
Gulf Breeze, FL 32563-2836
Mailing address
91 Bay Bridge Dr
D
Gulf Breeze, FL 32561-4468
Phone (850) 910-1806
National Provider Directory
National Provider DirectoryLocations
91 Bay Bridge Dr
#D
Gulf Breeze, FL 32561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286496000000",
"number": "1396055331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 BAY BRIDGE DR",
"address_2": "D",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325614468",
"telephone_number": "850-910-1806",
"fax_number": "866-960-8806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3612 QUAIL RUN RD",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325632836",
"telephone_number": "850-910-1806",
"fax_number": "866-960-8806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTZ CENTER FOR COUNSELING AND ASSESSMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-08",
"last_updated": "2010-10-08",
"status": "A",
"authorized_official_last_name": "LUTZ",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-910-1806",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ED.S."
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.