Individual provider Active NPI

Mitchell David Coutu, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • El Cajon, CA
National Provider Identifier
1184461048
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95036786 Issued in CA
Practice address
460 N Magnolia Ave Ste 110
El Cajon, CA 92020-3610
Phone
(619) 440-5133
NPI assigned
Jul 9, 2024
Last updated
May 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95379646 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95036786 CA Primary

Addresses

Primary practice location

460 N Magnolia Ave Ste 110
El Cajon, CA 92020-3610

Mailing address

1738 S Tremont St
Oceanside, CA 92054-5309
Phone (619) 304-0251

Other practice location 1

2358 University Ave # 2308
San Diego, CA 92104-2720
Phone (619) 304-0251

Other practice location 2

1738 S Tremont St
Oceanside, CA 92054-5309
Phone (760) 439-2800

Other names 1

  • Mitchell Coutu Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251021004177 CA Practitioner - Nurse Practitioner 2163910282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

460 N Magnolia Ave
Suite 110
El Cajon, CA 92020-3610
Phone (619) 440-5133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95379646CAMDRegistered Nurse
95036786CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Research Foundation Inc CurrentSince Oct 1, 2025 Accepting new patients
Community Research Foundation, Inc. PastSince Sep 28, 2025 Accepting new patients

Locations

460 N Magnolia Ave
Ste 110
El Cajon, CA 92020
Phone (619) 440-5133

1738 S Tremont St
Oceanside, CA 92054
Phone (760) 439-2800

1202 Morena Blvd
Ste 300
San Diego, CA 92110
Phone (619) 276-8112

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1184461048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 S TREMONT ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920545309",
            "telephone_number": "619-304-0251",
            "fax_number": "619-986-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N MAGNOLIA AVE STE 110",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203610",
            "telephone_number": "619-440-5133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2358 University Ave # 2308",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921042720",
            "country_code": "US",
            "telephone_number": "619-304-0251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1738 S Tremont St",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920545309",
            "country_code": "US",
            "telephone_number": "760-439-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUTU",
        "first_name": "MITCHELL",
        "middle_name": "DAVID",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-09",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95379646",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95036786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITCHELL",
            "last_name": "COUTU",
            "credential": "PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.