Alexandra Jeanne Lutz, MA, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178017333 Issued in IL

Practice address

4611 N Ravenswood Ave Ste 205
Chicago, IL 60640-7577

Phone

(847) 207-2595

NPI assigned

Feb 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Ajl Psychotherapy LLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1841080744
  NPD Authorized official

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1902552557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 N RAVENSWOOD AVE STE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407577",
            "telephone_number": "847-207-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 N RAVENSWOOD AVE STE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407577",
            "telephone_number": "847-207-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "ALEXANDRA",
        "middle_name": "JEANNE",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178017333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiona Lutolli, MD
• Bethany Lutter, MD
• Lutterbie, DDS, PC
• Elizabeth Sand Luttmer-Mohs
• James Luttrell
• Courtenay Megan Lutz, APRN
• Craig M Lutz, PT
• Juliana Lutz, APRN, CNP, MS
• Marcia Lynn Lutz, LCPC
• Marissa Lutz, M.S., CCC-SLP

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.