1. Home
  2. Directory
  3. Washington
  4. Aberdeen
  5. Counselor
  6. NPI Profile

JACK W. LUADZERS PH.D.
NPI 1992921712
Counselor - Mental Health in Aberdeen, WA

Active since April 18, 2007PECOS Enrolled
1708 TAFT RD., APT#4, ABERDEEN, WA 98520(509) 290-9519(803) 343-5400 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jack W. Luadzers Ph.d. NPPES

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

JACK W. LUADZERS PH.D. (NPI 1992921712) is an individual mental health provider in Aberdeen, Washington, licensed in Washington (LH60459225) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992921712
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACK W. LUADZERSCredential: PH.D.
Location Address1708 TAFT RD., APT#4Aberdeen, WA 98520
Mailing Address1708 Taft Rd., Apt#4Aberdeen, WA 98520 · (803) 771-9300 · Fax (803) 343-5400
Phone(509) 290-9519
Fax(803) 343-5400
Sole ProprietorYes
Enumeration DateApril 18, 2007
Last NPPES UpdateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
✔ NPI 1992921712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH60459225

Other Identifiers 2

Other571027762SC · Tax Id #
Other874SC · Lpc #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack W. Luadzers Ph.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Jack Luadzers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Richard P. Brooks, Jr., Arnp, Inc.
Psychiatric/Mental Health
804 LEVEE ST
Hoquiam, WA 98550
  • Reassigned Medicare billing, Washington enrollment
  • 11 clinicians in this Medicare group
NPI 1659914000 (360) 532-0060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
109 services12 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

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 Jack Luadzers's NPI number?

The NPI number for Jack Luadzers is 1992921712. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Jack Luadzers located?

Jack Luadzers practices at 1708 Taft Rd., Apt#4, Aberdeen, WA 98520. The listed phone number is (509) 290-9519.

What is Jack Luadzers's specialty?

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

Is Jack Luadzers enrolled in Medicare?

Yes. Jack Luadzers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jack Luadzers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Luadzers reassigns Medicare benefits to Richard P. Brooks, Jr., Arnp, Inc. (Hoquiam, WA). 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 Jack Luadzers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Luadzers accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jack Luadzers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Luadzers was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.