Individual provider Active NPI

Erin Luttschwager, MA, LPC, NCC

  • Professional Counselor
  • Green Bay, WI
National Provider Identifier
1861122665
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7885 Issued in WI
Practice address
3340 Lineville Rd
Green Bay, WI 54313-7237
Phone
(920) 217-8558
NPI assigned
Jun 14, 2022
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7885 WI Primary

Addresses

Primary practice location

3340 Lineville Rd
Green Bay, WI 54313-7237

Mailing address

824 Chapel View Rd
Green Bay, WI 54311-7653
Phone (920) 217-8558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240514000651 WI Practitioner - Mental Health Counselor 4688015233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Jacob's Well Counseling Center IncGroup PAC ID 1456799006, 3 clinicians

Practice addresses (Care Compare)

3340 Lineville Rd
Green Bay, WI 54313-7237
Phone (920) 264-9564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Jacob's Well Counseling Center Inc Professional CurrentSince Apr 1, 2024 Accepting new patients

Locations

3340 Lineville Rd
Green Bay, WI 54313
Phone (920) 264-9564

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1861122665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 CHAPEL VIEW RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543117653",
            "telephone_number": "920-217-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 LINEVILLE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543137237",
            "telephone_number": "920-217-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTSCHWAGER",
        "first_name": "ERIN",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.