Active NPI
Christine Millburn Luttrell, M.S.
- Professional Counselor
- Paducah, KY
National Provider Identifier
1992007314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0381
- Practice address
- 146 Mohawk Dr
Paducah, KY 42001-5412 - Phone
- (720) 557-3574
- NPI assigned
- Nov 18, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0381 | KY | Primary |
Addresses
Primary practice location
146 Mohawk Dr
Paducah, KY 42001-5412
Mailing address
146 Mohawk Dr
Paducah, KY 42001-5412
Phone (720) 557-3574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610661458 | Other | KY | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240409002310 | KY | Practitioner - Mental Health Counselor | 3173961257 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0381 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Ky Regional MHMR Board Inc | Current | Accepting new patients |
Locations
425 Broadway St
Ste 201
Paducah, KY 42001
Phone (270) 442-1452
425 Broadway St
Ste 102
Paducah, KY 42001
Phone (270) 442-1452
425 Broadway St
#201
Paducah, KY 42001
Phone (270) 442-1452
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Paducah, KY
- NPI 1841216934
KY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1992007314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 MOHAWK DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420015412",
"telephone_number": "720-557-3574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 MOHAWK DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420015412",
"telephone_number": "720-557-3574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLBURN LUTTRELL",
"first_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-18",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "0381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "610661458",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.