Active NPI
Steven Lutz, PSY.D., LP
- Psychologist
- Lake Elmo, MN
National Provider Identifier
1881684777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP4421
- Practice address
- 8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628 - Phone
- (651) 379-0444
- Fax
- (651) 379-0448
- NPI assigned
- Oct 24, 2005
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP4421 | MN | Primary |
Addresses
Primary practice location
8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Mailing address
8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Phone (651) 379-0444
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 463725 | Other | MN | VALUE OPTIONS |
| 468166000 | Other | MN | MAGELLAN/AETNA ID# |
| 336R2LU | Other | MN | BCBS ID# |
| 450620100 | Medicaid | MN | |
| HP55874 | Other | MN | HEALTH PARTNERS ID# |
| 172007 | Other | MN | BHP/FAIRVIEW/PREFERRED 1 |
| 55042A004 | Other | MN | TRICARE/TRIWEST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Phone 65137904444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bachmann and Associates, Inc. Dba Counseling Care | Current | Accepting new patients | |
| Bachmann and Associates, Inc | Current | Accepting new patients |
Locations
8669 Eagle Point Blvd
Lake Elmo, MN 55042
Phone (651) 379-0444
Organizations & group practices 2
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 Clinic/Center (Including Community Mental Health Center)
- Lake Elmo, MN
- NPI 1538158506
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lake Elmo, MN
- NPI 1144210899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324598400000",
"number": "1881684777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8669 EAGLE POINT BLVD",
"city": "LAKE ELMO",
"state": "MN",
"postal_code": "550428628",
"telephone_number": "651-379-0444",
"fax_number": "651-379-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8669 EAGLE POINT BLVD",
"city": "LAKE ELMO",
"state": "MN",
"postal_code": "550428628",
"telephone_number": "651-379-0444",
"fax_number": "651-379-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "STEVEN",
"credential": "PSY.D., LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2011-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP4421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "463725",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN/AETNA ID#",
"identifier": "468166000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID#",
"identifier": "336R2LU",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "450620100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS ID#",
"identifier": "HP55874",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BHP/FAIRVIEW/PREFERRED 1",
"identifier": "172007",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/TRIWEST",
"identifier": "55042A004",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elmo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.