Active NPI
Lutz Counseling Services LLC
- Clinical Social Worker
- Lutz, FL
National Provider Identifier
1770135824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LUTZ COUNSELING SERVICES LLC
- Practice address
- 23526 State Road 54
Lutz, FL 33559-6753 - Phone
- (813) 586-0956
- NPI assigned
- Jul 9, 2019
- 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
- Mrs. Melissa Ann Bretz, LCSW
- Title
- Psychotherapist/Owner
- Phone
- (813) 586-0956
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
23526 State Road 54
Lutz, FL 33559-6753
Mailing address
23526 State Road 54
Lutz, FL 33559-6753
Phone (813) 586-0956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17894 N US Highway 41
Lutz, FL 33549
Phone (813) 586-0956
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Lutz, FL
- NPI 1558618496
-
- Clinical Social Worker
- Land O Lakes, FL
- NPI 1114636107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562630400000",
"number": "1770135824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23526 STATE ROAD 54",
"city": "LUTZ",
"state": "FL",
"postal_code": "335596753",
"telephone_number": "813-586-0956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23526 STATE ROAD 54",
"city": "LUTZ",
"state": "FL",
"postal_code": "335596753",
"telephone_number": "813-586-0956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTZ COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-09",
"last_updated": "2019-07-09",
"status": "A",
"authorized_official_last_name": "BRETZ",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
"authorized_official_telephone_number": "813-586-0956",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.