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ANGIE MARIE LUTTRELL NCC
NPI 1891466744
Counselor - Mental Health in Valdosta, GA

Active since September 21, 2021PECOS Enrolled
2409 BEMISS RD STE B4, VALDOSTA, GA 31602(229) 251-5151 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angie Marie Luttrell Ncc NPPES

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

ANGIE MARIE LUTTRELL NCC (NPI 1891466744) is an individual mental health provider in Valdosta, Georgia and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891466744
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANGIE MARIE LUTTRELLCredential: NCC
Location Address2409 BEMISS RD STE B4Valdosta, GA 31602-1936
Mailing Address2409 Bemiss Rd Ste B4Valdosta, GA 31602-1936 · (229) 251-5151
Phone(229) 251-5151
Sole ProprietorNo
Enumeration DateSeptember 21, 2021
NPPES CertifiedSeptember 21, 2021
✔ NPI 1891466744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2409 BEMISS RD STE B4, Valdosta, GA 31602
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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)

Angie Marie Luttrell Ncc 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 2

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

JENNA E THOMAS LMSW
Social Worker
2409 BEMISS RD STE B4
VALDOSTA, GA 31602
Lowndes County (229) 251-5151
AMANDA BLAIR
Counselor (Mental Health)
2409 BEMISS RD STE B4
VALDOSTA, GA 31602
Lowndes County (229) 251-5151

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 Angie Luttrell's NPI number?

The NPI number for Angie Luttrell is 1891466744. It was assigned to this individual provider in the NPPES registry on September 21, 2021.

Where is Angie Luttrell located?

Angie Luttrell practices at 2409 Bemiss Rd Ste B4, Valdosta, GA 31602. The listed phone number is (229) 251-5151.

What is Angie Luttrell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Angie Luttrell enrolled in Medicare?

Yes. Angie Luttrell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angie Luttrell was last updated on September 21, 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.