RAEANNE DUTZ LPC
NPI 1669239760
Counselor - Professional in Springfield, IL
About Raeanne Dutz Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAEANNE DUTZ LPC (NPI 1669239760) is an individual professional provider in Springfield, Illinois, licensed in Illinois (178.019803) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Raeanne Dutz Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Raeanne Dutz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, IL 62703
- Reassigned Medicare billing, Illinois enrollment
- 735 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, IL 62711
SPRINGFIELD, IL 62711
SPRINGFIELD, IL 62711
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 Raeanne Dutz's NPI number?
The NPI number for Raeanne Dutz is 1669239760. It was assigned to this individual provider in the NPPES registry on March 5, 2024.
Where is Raeanne Dutz located?
Raeanne Dutz practices at 3501 Old Jacksonville Rd, Springfield, IL 62711. The listed phone number is (217) 528-7541.
What is Raeanne Dutz's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Raeanne Dutz enrolled in Medicare?
Yes. Raeanne Dutz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Raeanne Dutz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raeanne Dutz reassigns Medicare benefits to Springfield Clinic, LLP (Springfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raeanne Dutz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Raeanne Dutz was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Raeanne Dutz, LPC · NPI 1669239760
Professional provider in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since March 5, 2024.
## Identity
- **NPI:** 1669239760 (Entity type: Individual)
- **Enumerated:** March 5, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 178.019803 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3501 OLD JACKSONVILLE RD, Springfield, IL 62711-8358
- **Phone:** (217) 528-7541
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Springfield Clinic, LLP (NPI 1780638478, Springfield, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669239760) · Data from the CMS NPPES public registry.