SHANNON COURTNEY LUTZ LPA
NPI 1316043128
Psychologist in Charlotte, NC

Active since September 16, 2006
1515 MOCKINGBIRD LN, SUITE 515, CHARLOTTE, NC 28209(704) 999-4191(980) 949-8180 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Courtney Lutz Lpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON COURTNEY LUTZ LPA (NPI 1316043128) is an individual psychologist in Charlotte, North Carolina, licensed in North Carolina (2532) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1316043128
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSHANNON COURTNEY LUTZCredential: LPA
Location Address1515 MOCKINGBIRD LN, SUITE 515Charlotte, NC 28209-3236
Mailing Address1515 Mockingbird Ln, Suite 515Charlotte, NC 28209-3236 · (704) 999-4191 · Fax (980) 949-8180
Fax(980) 949-8180
Sole ProprietorYes
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJanuary 11, 2013
NPI 1316043128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 2532
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1515 MOCKINGBIRD LN, Charlotte, NC 28209

Other Identifiers 1

Medicaid6107208NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
1515 MOCKINGBIRD LN, SUITE 1015
CHARLOTTE, NC 28209
Psychiatry & Neurology (Psychiatry)
1515 MOCKINGBIRD LN
CHARLOTTE, NC 28209
Clinic/Center
1515 MOCKINGBIRD LN
CHARLOTTE, NC 28209
Case Management
1515 MOCKINGBIRD LN, STE 1015
CHARLOTTE, NC 28209
Counselor (Mental Health)
1515 MOCKINGBIRD LN, SUITE 412
CHARLOTTE, NC 28209
Community Based Residential Treatment Facility, Mental Illness
1515 MOCKINGBIRD LN, SUITE 1015
CHARLOTTE, NC 28209
Psychologist (Clinical)
1515 MOCKINGBIRD LN, SUITE 212
CHARLOTTE, NC 28209
Counselor (Pastoral)
1515 MOCKINGBIRD LN, SUITE 212
CHARLOTTE, NC 28209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Lutz's NPI number?

The NPI number for Shannon Lutz is 1316043128. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Shannon Lutz located?

Shannon Lutz practices at 1515 Mockingbird Ln Suite 515, Charlotte, NC 28209. The listed phone number is (704) 999-4191.

What is Shannon Lutz's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Shannon Lutz was last updated on January 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.