KELSEY LUTZ MA, LPC
NPI 1366093775
Behavior Technician in Gardner, IL
About Kelsey Lutz Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY LUTZ MA, LPC (NPI 1366093775) is an individual behavior technician in Gardner, Illinois and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelsey Lutz Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Kelsey Lutz's NPI number?
The NPI number for Kelsey Lutz is 1366093775. It was assigned to this individual provider in the NPPES registry on September 26, 2019.
Where is Kelsey Lutz located?
Kelsey Lutz practices at 508 N Center St, Gardner, IL 60424. The listed phone number is (815) 252-1151.
What is Kelsey Lutz's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
Is Kelsey Lutz enrolled in Medicare?
Yes. Kelsey Lutz is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelsey Lutz was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.