Active NPI
Roger Scott Utter, MS, LPC (TEMP.)
- Mental Health Counselor
- Brentwood, TN
National Provider Identifier
1245760404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3794
- Practice address
- 1604 Westgate Cir
Brentwood, TN 37027-1300 - Phone
- (731) 225-9684
- NPI assigned
- Jun 19, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3794 | TN | Primary |
Addresses
Primary practice location
1604 Westgate Cir
Brentwood, TN 37027-1300
Mailing address
1604 Westgate Cir
Brentwood, TN 37027-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 622578151 | Other | TN | HSPO |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497830400000",
"number": "1245760404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 WESTGATE CIR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 WESTGATE CIR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271300",
"telephone_number": "731-225-9684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTTER",
"first_name": "ROGER",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "MS, LPC (TEMP.)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-19",
"last_updated": "2017-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "3794",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HSPO",
"identifier": "622578151",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.