KRISTINE L. LUTZ (MA, LMFT) – Marriage & Family Therapist, NPI 1144117730

KRISTINE L. LUTZ (MA, LMFT) is a healthcare provider. based in New brighton, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MA, LMFT. They hold a License No. 4308 (MN). The NPI Number for KRISTINE L. LUTZ (MA, LMFT) is 1144117730

Main info

Female
5 Years Of Experience
Name
KRISTINE L. LUTZ (MA, LMFT)
NPI
1144117730
Phone
(651) 482-9361
Address
900 LONG LAKE RD STE 320
Enumeration Date
18 June 2025
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514829361
Graduation Year
2021 (5 years ago)
PAC ID
4789199720
Group Practice PAC ID
3173429214
Professional Enrollment ID
I20250717001010
Address ID
MN551126439NE900XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

Provider Addresses for KRISTINE L. LUTZ (MA, LMFT)

  • 900 LONG LAKE RD STE 320

    NEW BRIGHTON, MN 551126439

    Phone: (651) 482-9361

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250717001010IMarriage And Family TherapistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55112)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173429214View full group profile
NameSpecialtyState
-MN
Marriage And Family TherapistMN
Clinical PsychologistMN
Mental Health CounselorMN
-MN
Marriage And Family TherapistMN
Clinical PsychologistMN
Clinical PsychologistMN
Marriage And Family TherapistMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What is KRISTINE L. LUTZ (MA, LMFT)'s NPI number?
KRISTINE L. LUTZ (MA, LMFT)'s NPI is 1144117730 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KRISTINE L. LUTZ (MA, LMFT)?
For scheduling context, KRISTINE L. LUTZ (MA, LMFT) is shown as active in the registry.
What kind of doctor is KRISTINE L. LUTZ (MA, LMFT)?
KRISTINE L. LUTZ (MA, LMFT) is associated with Marriage & Family Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with KRISTINE L. LUTZ (MA, LMFT)?
Directory geography for KRISTINE L. LUTZ (MA, LMFT) centers on New Brighton, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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