Active NPI
Simon Lutz, MS
- Mental Health Counselor
- Bloomington, MN
National Provider Identifier
1750989117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1101 E 78TH St Ste 100
Bloomington, MN 55420-1402 - Phone
- (952) 854-5034
- Fax
- (952) 854-5363
- NPI assigned
- Oct 16, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1101 E 78TH St Ste 100
Bloomington, MN 55420-1402
Mailing address
1101 E 78TH St Ste 100
Bloomington, MN 55420-1402
Phone (952) 854-5034
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Support Services Inc. | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- New Brighton, MN
- NPI 1467549220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1750989117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 E 78TH ST STE 100",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554201402",
"telephone_number": "952-854-5034",
"fax_number": "952-854-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 E 78TH ST STE 100",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554201402",
"telephone_number": "952-854-5034",
"fax_number": "952-854-5363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "SIMON",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-16",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.