KELSEY LUTZ MA, LPC
NPI 1366093775
Behavior Technician in Gardner, IL

Active since September 26, 2019PECOS Enrolled
508 N CENTER ST, GARDNER, IL 60424(815) 252-1151 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 29, 2023, Sep 26, 2019 (2 updates tracked since 2019).

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

NPI1366093775
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKELSEY LUTZCredential: MA, LPC
Location Address508 N CENTER STGardner, IL 60424-7054
Mailing Address508 N Center StGardner, IL 60424-7054 · (815) 252-1151
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 26, 2019
Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
NPI 1366093775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
508 N CENTER ST, Gardner, IL 60424

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).

PECOS PAC ID42708026
PECOS Enrollment IDI20251022000486
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.