Individual provider Active NPI

Steven Lutz, PSY.D., LP

  • Psychologist
  • Lake Elmo, MN
National Provider Identifier
1881684777
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP4421 Issued in MN
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

Updated by the provider on Dec 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
463725OtherMNVALUE OPTIONS
468166000OtherMNMAGELLAN/AETNA ID#
336R2LUOtherMNBCBS ID#
450620100MedicaidMN
HP55874OtherMNHEALTH PARTNERS ID#
172007OtherMNBHP/FAIRVIEW/PREFERRED 1
55042A004OtherMNTRICARE/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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405000437 MN Practitioner - Clinical Psychologist 1456344787 Reassigns benefits to 1 organization

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
Bachmann and Associates IncGroup PAC ID 0749271781, 22 clinicians

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

OrganizationSpecialtyStatusNew patients
Bachmann and Associates, Inc. Dba Counseling Care CurrentSince Mar 8, 2004 Accepting new patients
Bachmann and Associates, Inc CurrentSince Jul 24, 2022 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.

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

Verify at the official NPI Registry.