Individual provider Active NPI

Thomas Luttrell, PHD, LCMFT

  • Marriage & Family Therapist
  • Bethesda, MD
National Provider Identifier
1952931891
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LCM754 Issued in MD
Practice address
7201 Wisconsin Ave Ste 440
Bethesda, MD 20814-4851
Phone
(240) 342-6338
NPI assigned
Jan 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT111604 CA
Marriage & Family Therapist 106H00000X LCM754 MD Primary

Addresses

Primary practice location

7201 Wisconsin Ave Ste 440
Bethesda, MD 20814-4851

Mailing address

2211 Aventurine Way
Silver Spring, MD 20904-5253
Phone (909) 907-2256

Other practice location 1

2211 Aventurine Way
Silver Spring, MD 20904-5253
Phone (240) 342-6338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LMFT111604CAMDMarriage & Family Therapist
LCM754MDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Higherchange, LLC Marriage & Family Therapist CurrentSince Feb 16, 2020 Accepting new patients

Locations

7201 Wisconsin Ave
Ste 440
Bethesda, MD 20814
Phone (202) 236-4669

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1952931891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 AVENTURINE WAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045253",
            "telephone_number": "909-907-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 WISCONSIN AVE STE 440",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144851",
            "telephone_number": "240-342-6338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Aventurine Way",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209045253",
            "country_code": "US",
            "telephone_number": "240-342-6338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUTTRELL",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PHD, LCMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT111604",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.