MRS. ELLEN J. LUTZ (NPI# 1649819145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649819145 |
| Entity Type | Individual |
| Full Name | MRS. ELLEN J. LUTZ |
| Other Name | MISS ELLEN J. HENDRICKS |
| Credential | L.P.C. |
| Practice Address |
2031 E Calumet St. Appleton WI 54915-4742 |
| Mailing Address |
2406 E Bona Ave Appleton WI 54915-3657 |
| Practice Telephone | 9208096766 |
| Practice Fax Number | 9203587535 |
| Mailing Telephone | 9208096766 |
| Mailing Fax Number | 9203587535 |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841651510 | Ellen Lutz | Speech-Language Pathologist | 355 Tuthills Lane, Riverhead, NY 11901-2245 | 2016-03-09 |
| Street Address |
2031 E CALUMET ST. |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-4742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962633 | Amy Felice Woolf | Counselor | 6 Northbreeze Cir, Appleton, WI 54911-1247 | 2020-04-28 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1487124848 | Kathleen N Huskey | Counselor | 516 E Wisconsin Ave, Appleton, WI 54911-4863 | 2018-11-28 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1972915700 | Adalia Maritza Jansen | Counselor | 3701 E Evergreen Dr Ste 260, Appleton, WI 54913-7402 | 2014-05-28 |
| 1275809352 | A Single Step, LLC | Counselor | 821 E 1st Ave Ste 5, Appleton, WI 54911-1586 | 2012-03-22 |
| 1811216484 | Jodi Lynn Huebner | Counselor | 1045 N Lynndale Dr Ste 2d, Appleton, WI 54914-3048 | 2010-05-21 |
| 1316186141 | Kate Mary Mccarthy | Counselor | 3003 N Richmond St, Appleton, WI 54911-1148 | 2009-02-18 |
| 1144487620 | Evie Kalyani Lafountain | Counselor | 5506 Michaels Dr Apt 1, Appleton, WI 54913-8648 | 2008-05-21 |
| 1154592822 | Lynn F Kelley | Counselor | 1333 Union Rd, Appleton, ME 04862-6607 | 2008-03-20 |
| Find all providers in APPLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.