Individual provider Active NPI

Jeffrey S Cutter

  • Mental Health Counselor
  • Tigard, OR
National Provider Identifier
1386989523
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
10313 SW 69TH Ave
Tigard, OR 97223-9103
Phone
(503) 726-3690
Fax
(503) 726-3691
NPI assigned
Nov 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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 Primary

Addresses

Primary practice location

10313 SW 69TH Ave
Tigard, OR 97223-9103

Mailing address

10313 SW 69TH Ave
Tigard, OR 97223-9103
Phone (503) 726-3690

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

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1386989523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 SW 69TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972239103",
            "telephone_number": "503-726-3690",
            "fax_number": "503-726-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10313 SW 69TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972239103",
            "telephone_number": "503-726-3690",
            "fax_number": "503-726-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTTER",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.