TIMOTHY LUEDTKE LCPC NPI 1679971337

NPI Information

  • NPI: 1679971337
  • Provider Name: TIMOTHY LUEDTKE, LCPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 729 1/2 MASSACHUSETTS ST STE 213
    LAWRENCE, KS
    ZIP 66044
  • Phone: (785) 760-4810

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NPI Details

Timothy Luedtke, LCPC is a mental health counselor in Lawrence, KS with 11 years of experience. Timothy Luedtke, LCPC NPI is 1679971337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

729 1/2 MASSACHUSETTS ST STE 213
LAWRENCE, KS
ZIP 66044-257
Phone: (785) 760-4810

The NPI 1679971337 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/11/2014 and was last updated on 12/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)P-1131NEBRASKANo
2101YA0400XCounselorAddiction (Substance Use Disorder)LAT-379WYOMINGNo
3101YM0800XCounselorMental Health3388NEBRASKANo
4101YM0800XCounselorMental Health10196NEBRASKANo
5101YM0800XCounselorMental Health5212NEBRASKANo
6101YM0800XCounselorMental HealthLCPC03725KANSASYes
7101YP2500XCounselorProfessionalLPC-1748WYOMINGNo
8101YP2500XCounselorProfessional03725KANSASNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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