Individual provider Active NPI

Roderick Cutrer, LPC

  • Counselor
  • Laurel, MS
National Provider Identifier
1386176162
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
5 Dunnbarr Ste 1
Laurel, MS 39440-1041
Phone
(601) 426-9614
Fax
(601) 399-1592
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

5 Dunnbarr Ste 1
Laurel, MS 39440-1041

Mailing address

PO Box 247
Laurel, MS 39441-0247

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130003593 MS Practitioner - Mental Health Counselor 5395192231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Clinics, Inc Current Accepting new patients
South Central Clinics, Inc CurrentSince Jan 1, 2024 Accepting new patients
South Central Clinics, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553

5 Dunnbarr
Ste 1
Laurel, MS 39440
Phone (601) 426-3421

Interoperability endpoints

  • Direct secure messaging: brett.cutrer@direct.scrmc.com

Organizations & group practices 3

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1386176162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394410247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DUNNBARR STE 1",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401041",
            "telephone_number": "601-426-9614",
            "fax_number": "601-399-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTRER",
        "first_name": "RODERICK",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.