MRS. JILL LUTZ MA LLP
NPI 1417616335
Psychologist in Troy, MI

Active since December 08, 2021PECOS Enrolled
363 W BIG BEAVER RD STE 200, TROY, MI 48084(248) 509-7657(248) 509-7658 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jill Lutz Ma Llp NPPES

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

MRS. JILL LUTZ MA LLP (NPI 1417616335) is an individual psychologist in Troy, Michigan, licensed in Michigan (6361004210) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1417616335
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMRS. JILL LUTZCredential: MA LLP
Location Address363 W BIG BEAVER RD STE 200Troy, MI 48084-5380
Mailing Address363 W Big Beaver Rd Ste 200Troy, MI 48084-5380 · (248) 509-7657 · Fax (248) 509-7658
Fax(248) 509-7658
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
NPI 1417616335 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 MI · 6361004210
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.
363 W BIG BEAVER RD STE 200, Troy, MI 48084

Other Names 1

Professional Name (2)Mrs. Jillian Lutz Ma Llp

Other Identifiers 1

Other6361004210MI · 6361004210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Jill Lutz Ma Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901302215
PECOS Enrollment IDI20251003003591
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 Jill Lutz's NPI number?

The NPI number for Jill Lutz is 1417616335. It was assigned to this individual provider in the NPPES registry on December 8, 2021. The provider is also known as Mrs. Jillian Lutz Ma LLP.

Where is Jill Lutz located?

Jill Lutz practices at 363 W Big Beaver Rd Ste 200, Troy, MI 48084. The listed phone number is (248) 509-7657.

What is Jill Lutz's specialty?

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

Is Jill Lutz enrolled in Medicare?

Yes. Jill Lutz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jill Lutz was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.