Individual provider Active NPI

Paula Ann Kutz, L.C.P.C.

  • Mental Health Counselor
  • Geneva, IL
National Provider Identifier
1194884973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1250 Executive PL
Suite 501
Geneva, IL 60134-3807
Phone
(630) 232-7457
Fax
(630) 232-7567
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL Primary

Addresses

Primary practice location

1250 Executive PL
Suite 501
Geneva, IL 60134-3807

Mailing address

1250 Executive PL
Suite 501
Geneva, IL 60134-3807
Phone (630) 232-7457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180-000732ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Atkinsons & Associates Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194884973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 EXECUTIVE PL",
            "address_2": "SUITE 501",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343807",
            "telephone_number": "630-232-7457",
            "fax_number": "630-232-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 EXECUTIVE PL",
            "address_2": "SUITE 501",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343807",
            "telephone_number": "630-232-7457",
            "fax_number": "630-232-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTZ",
        "first_name": "PAULA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.