STEFANIE NICHOLE LUTTRELL (LPC) – Professional Counselor, NPI 1053153528

STEFANIE NICHOLE LUTTRELL (LPC) is a healthcare provider. based in Corpus christi, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 93780 (TX). The NPI Number for STEFANIE NICHOLE LUTTRELL (LPC) is 1053153528

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
STEFANIE NICHOLE LUTTRELL (LPC)
NPI
1053153528
Phone
(361) 389-9205
Address
6614 Mountain Wood Dr
Enumeration Date
6 June 2024
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3613561234
Graduation Year
2013 (13 years ago)
PAC ID
5092221309
Group Practice PAC ID
0547780413
Professional Enrollment ID
I20250723001740
Address ID
TX784114322CO4444XDRXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

3,949 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for STEFANIE NICHOLE LUTTRELL (LPC)

  • 6614 Mountain Wood Dr

    Corpus Christi, TX 784134648

    Phone: (361) 389-9205

    Type: Location

  • 6614 MOUNTAIN WOOD DR

    CORPUS CHRISTI, TX 784134648

    Phone: (361) 585-3866

    Type: Mailing

  • 4444 CORONA DR STE 150

    CORPUS CHRISTI, TX 784114300

    Phone: (361) 389-9205

    Type: Location

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: 2025-07-23

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
I20250723001740IMental Health CounselorTXTBD

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 78413)

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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: 0547780413View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Mental Health CounselorTX
Nurse PractitionerTX
Nurse PractitionerTX
Mental Health CounselorTX
Nurse PractitionerTX
Mental Health CounselorTX

Reviews

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Frequently asked questions

What number should I use to identify STEFANIE NICHOLE LUTTRELL (LPC) for billing?
Administrative and clinical systems typically use NPI 1053153528 for STEFANIE NICHOLE LUTTRELL (LPC).
Is STEFANIE NICHOLE LUTTRELL (LPC) currently accepting referrals based on NPI status?
Registry metadata lists STEFANIE NICHOLE LUTTRELL (LPC) as active.
What type of care does STEFANIE NICHOLE LUTTRELL (LPC) provide?
STEFANIE NICHOLE LUTTRELL (LPC)'s profile centers on Professional Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STEFANIE NICHOLE LUTTRELL (LPC)?
STEFANIE NICHOLE LUTTRELL (LPC) is associated with Corpus Christi, Texas in the same public data insurers reference.
Who maintains STEFANIE NICHOLE LUTTRELL (LPC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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