Tom Lutz & Associates

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP2698 Issued in MN

Legal business name

TOM LUTZ & ASSOCIATES

Practice address

1320 S Frontage Rd
Hastings, MN 55033-2684

Phone

(651) 500-0905

NPI assigned

Dec 27, 2011

Organization subpart

No

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

Authorized official

Name

Thomas R. Lutz, MA, LP, LICSW

Title

Owner

Phone

(651) 500-0905

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deric R Jackson, LICSW

  • Clinical Social Worker
  • Hastings, MN
  • NPI 1093423337
  NPD (past)

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1629347273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 S FRONTAGE RD",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332684",
            "telephone_number": "651-500-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S FRONTAGE RD",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332684",
            "telephone_number": "651-500-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM LUTZ & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-500-0905",
        "authorized_official_credential": "MA, LP, LICSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP2698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Hastings, MN
• Providers in Hastings, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.