Sara Jane Lutat, MSW, MLADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1000 Issued in NH

Practice address

102 4TH St
Manchester, NH 03102-4540

Phone

(603) 782-3004

Fax

(603) 518-8977

NPI assigned

Jul 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dismas Home of New Hampshire

  • Substance Abuse Rehabilitation Facility
  • Manchester, NH
  • NPI 1871004291
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1487130720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W CLARKE ST APT 2",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042448",
            "telephone_number": "603-562-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 4TH ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024540",
            "telephone_number": "603-782-3004",
            "fax_number": "603-518-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTAT",
        "first_name": "SARA",
        "middle_name": "JANE",
        "credential": "MSW, MLADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "1000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Alan Lundquist, MD
• Keith Lundquist, APRN
• Ovidiu Adrian Lungulescu, M.D.
• Lupine Home Health Care LLC
• Joanne Michelle Luquette, MS
• Rekha Luther
• Andrew Lutz
• Julie Lutz, BS
• Katerina Erdmann Lutz, BA
• Luxottica of America Inc.

• Addiction (Substance Use Disorder) Counselor in Manchester, NH
• Providers in Manchester, NH by specialty
• Addiction (Substance Use Disorder) Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.