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KATHERINE LUTTRULL LPCC, LADC
NPI 1629725767
Counselor - Addiction (Substance Use Disorder) in Saint Paul, MN

Active since March 08, 2022PECOS Enrolled
135 COLORADO ST E, SAINT PAUL, MN 55107(612) 454-2342 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Katherine Luttrull Lpcc, Ladc NPPES

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

KATHERINE LUTTRULL LPCC, LADC (NPI 1629725767) is an individual addiction (substance use disorder) provider in Saint Paul, Minnesota, licensed in Minnesota (305417) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629725767
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKATHERINE LUTTRULLCredential: LPCC, LADC
Location Address135 COLORADO ST ESaint Paul, MN 55107-2244
Mailing Address847 Oakdale AveSaint Paul, MN 55107-3127 · (612) 462-1918
Phone(612) 454-2342
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 8, 2022
NPPES CertifiedMarch 8, 2022
✔ NPI 1629725767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 305417
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2955 (MN)
135 COLORADO ST E, Saint Paul, MN 55107
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Luttrull Lpcc, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092288498
PECOS Enrollment IDI20260626002171
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.

Other Providers at the Same Location NPPES 9

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

MS. ANDREA SUSAN KOFOED LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (612) 454-3353
MS. SEIKA NOGUCHI CHARPENTIER MA,LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (651) 489-7740
SHANNON D SWARTHOUT LADC
Substance Abuse Rehabilitation Facility
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (612) 454-2131
TAPESTRY
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (651) 454-2323
MS. LAURA POHLMAN B.A., LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (612) 454-2354
MS. MARY LARISSA GORMAN MA, LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (651) 489-7740
MS. TERRY ROSE KATUSKY LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (651) 489-7740
MS. CONNIE LOU BINGEL BOMBENGER LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (612) 916-4878

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 Katherine Luttrull's NPI number?

The NPI number for Katherine Luttrull is 1629725767. It was assigned to this individual provider in the NPPES registry on March 8, 2022.

Where is Katherine Luttrull located?

Katherine Luttrull practices at 135 Colorado St E, Saint Paul, MN 55107. The listed phone number is (612) 454-2342.

What is Katherine Luttrull's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Katherine Luttrull enrolled in Medicare?

Yes. Katherine Luttrull is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Luttrull was last updated on March 8, 2022. 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.