Individual provider Active NPI

Patricia Ruth Lytwyn, LCMHC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1760977003
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17270 Issued in NC
Practice address
2300 Rexwoods Dr Ste 140
Raleigh, NC 27607-3361
Phone
(704) 360-3637
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 17270 NC Primary

Addresses

Primary practice location

2300 Rexwoods Dr Ste 140
Raleigh, NC 27607-3361

Mailing address

2300 Rexwoods Dr Ste 140
Raleigh, NC 27607-3361
Phone (704) 360-3637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111004408 NC Practitioner - Mental Health Counselor 7113378381

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke University Affiliated Physicians, Inc.Group PAC ID 3779489588, shared by 9 NPIs, 452 clinicians

Practice addresses (Care Compare)

10950 Chapel Hill Rd
Suite a
Morrisville, NC 27560-8852
Phone (919) 425-3185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17270NCMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1760977003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 REXWOODS DR STE 140",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073361",
            "telephone_number": "704-360-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 REXWOODS DR STE 140",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073361",
            "telephone_number": "704-360-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTWYN",
        "first_name": "PATRICIA",
        "middle_name": "RUTH",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.