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RAEANNE DUTZ LPC
NPI 1669239760
Counselor - Professional in Springfield, IL

Active since March 05, 2024PECOS Enrolled
3501 OLD JACKSONVILLE RD, SPRINGFIELD, IL 62711(217) 528-7541 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2025, Sep 10, 2024, Mar 5, 2024 (3 updates tracked since 2024).

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

NPI1669239760
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameRAEANNE DUTZCredential: LPC
Location Address3501 OLD JACKSONVILLE RDSpringfield, IL 62711-8358
Mailing Address3501 Old Jacksonville RdSpringfield, IL 62711-8358 · (217) 528-7541
Phone(217) 528-7541
Sole ProprietorNo
Enumeration DateMarch 5, 2024
Last NPPES UpdateJanuary 7, 20253 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1669239760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.019803
3501 OLD JACKSONVILLE RD, Springfield, IL 62711
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raeanne Dutz Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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

MS. TRACY ANN ANDERSEN PNP
Nurse Practitioner (Pediatrics)
3501 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62711
Sangamon County (217) 528-7541
DR. JOHN MICHAEL BELZ MD
Pediatrics
3501 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62711
Sangamon County (217) 960-8193
JOSEPH D. CONLON M.D.
Dermatology (Pediatric Dermatology)
3501 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62711
Sangamon County (217) 528-7541
ANGELA G. YOUNKER NURSE PRACTITIONER
Nurse Practitioner (Pediatrics)
3501 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62711
Sangamon County (217) 528-7541

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.

When was this NPI record last updated?

The NPPES record for Raeanne Dutz was last updated on January 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.