MR. BENTON LUTZ (NPI# 1245270008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245270008 |
| Entity Type | Individual |
| Full Name | MR. BENTON LUTZ |
| Credential | EDS LPC |
| Practice Address |
811 1/2 North St Beaufort SC 29902 |
| Mailing Address |
Po Box 396 Beaufort SC 29901 |
| Practice Telephone | 8439860569 |
| Practice Fax Number | 8439860560 |
| Mailing Telephone | 8439860569 |
| Mailing Fax Number | 8439860560 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2447 | SC | Behavioral Health & Social Service Providers |
| Street Address |
811 1/2 NORTH ST |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437276755 | Maureen Gurney Migliore | Psychologist | 601 Cedar St, Suite 5, Beaufort, NC 28516-1999 | 2007-03-23 |
| 1912058959 | James T Trent | Psychologist | 22 Brisbane Dr, Beaufort, SC 29902-5296 | 2007-01-16 |
| 1952403214 | Barbara A. Clarke | Psychologist | 2015 Boundary St., One Beaufort Town Center - Executive Suites #337, Beaufort, SC 29902 | 2006-09-05 |
| 1154381325 | Thomas Michael Collins | Psychologist | 670 Distant Island Dr, Beaufort, SC 29907-1580 | 2006-03-23 |
| 1710529995 | Jules C Martowski | Psychologist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-10-09 |
| 1700353265 | Mellisha Bedminster | Psychologist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2018-11-01 |
| 1659779932 | Brendan Finton | Psychologist | 1 Pinckney Blvd, Dmh, Beaufort, SC 29902-6122 | 2014-12-18 |
| 1629086053 | Martha A Schein | Psychologist | 80 Ladys Island Dr, Suite D, Beaufort, SC 29907-1643 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653957 | Brittany A Soto | Psychologist | 2038 Lake Murray Blvd Apt 8203, Columbia, SC 29212-0843 | 2020-09-10 |
| 1871102186 | Stephanie P Goins | Psychologist | 704 Shefwood Dr, Easley, SC 29642-3336 | 2020-07-23 |
| 1659993301 | Alice Huang | Psychologist | 3 Sawgrass Rd Apt A7, Charleston, SC 29412-2580 | 2020-05-15 |
| 1710512140 | Arie Anew Services Incorporated | Psychologist | 7803 St. Andrews Road, C5, Irmo, SC 29063 | 2020-03-05 |
| 1003458753 | Risa Byars, LLC | Psychologist | 25 Thurmond Way Unit 3004, Bluffton, SC 29910-9224 | 2019-10-15 |
| 1750930889 | Little Tree Psychological Services | Psychologist | 800 Whitworth Cir Ste B, Seneca, SC 29672-9432 | 2019-09-11 |
| 1932757127 | Brienne Allen Schaeffer | Psychologist | 1409 Devine St Fl 3, Columbia, SC 29208-3902 | 2019-08-30 |
| 1205480217 | Thomas Howard Hutchison | Psychologist | 1124 Pine Croft Dr, West Columbia, SC 29170-3139 | 2019-07-29 |
| 1285192120 | Doris Paez | Psychologist | 1024 Wildwood Centre Dr Ste A, Columbia, SC 29229-8400 | 2019-03-11 |
| 1942767538 | Jennifer Nicole Merrifield | Psychologist | 6439 Garners Ferry Rd Bldg 106, Columbia, SC 29209-1638 | 2019-03-01 |
| Find all providers with the same taxonomy | ||||
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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.