NPIMap

Organization Active NPI

John G Kutinac, Inc

Doing business as Las Cruces Counseling Services

  • Counseling Psychologist
  • Las Cruces, NM
National Provider Identifier
1386025096
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PA9501 Issued in NM
Legal business name
JOHN G KUTINAC, INC
Doing business as
Las Cruces Counseling Services
Practice address
1155 S Telshor Blvd
Suite 200
Las Cruces, NM 88011-1009
Phone
(575) 522-8002
Fax
(575) 522-8027
NPI assigned
Jun 18, 2015
Last updated
Jun 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
John G Kutinac Jr., MA PA LPCCNPI 1508844135
Title
Owner
Phone
(575) 522-8002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X PA9501 NM Primary

Addresses

Primary practice location

1155 S Telshor Blvd
Suite 200
Las Cruces, NM 88011-1009

Mailing address

1155 S Telshor Blvd
Suite 200
Las Cruces, NM 88011-1009
Phone (575) 522-8002

Other names 1

  • Las Cruces Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

1155 S Telshor Blvd
Ste 200
Las Cruces, NM 88011
Phone (505) 523-0482

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1386025096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 S TELSHOR BLVD",
            "address_2": "SUITE 200",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880111009",
            "telephone_number": "575-522-8002",
            "fax_number": "575-522-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 S TELSHOR BLVD",
            "address_2": "SUITE 200",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880111009",
            "telephone_number": "575-522-8002",
            "fax_number": "575-522-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G KUTINAC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "KUTINAC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-522-8002",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MA PA LPCC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NM",
            "license": "PA9501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Cruces Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.