Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy Luedtke, LCPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679971337

Timothy Luedtke, LCPC is a Mental Health Counselor in Lawrence, Kansas. Qualified in 2014, 12 years ago. Practices with Pine Lake Behavioral Health LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Kansas, Nebraska and Wyoming.

Years since qualifying
12
Licensed in
KS, NE, WY
In the registry since
2014
Specialties on file
8
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

729 1/2 Massachusetts St Ste 213
Lawrence, KS 66044-2257
Phone: (785) 760-4810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCPC03725 (KS)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence P-1131 (NE)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LAT-379 (WY)
Mental Health Counselor Taxonomy 101YM0800X · Licence 3388 (NE)
Mental Health Counselor Taxonomy 101YM0800X · Licence 10196 (NE)
Mental Health Counselor Taxonomy 101YM0800X · Licence 5212 (NE)
Professional Counselor Taxonomy 101YP2500X · Licence LPC-1748 (WY)
Professional Counselor Taxonomy 101YP2500X · Licence 03725 (KS)

Record details

NPI number1679971337
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorNo
NPI enumeratedDecember 11, 2014
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Pine Lake Behavioral Health Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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