Individual provider Active NPI

John G Kutinac Jr., MA PA LPCC

  • Professional Counselor
  • Las Cruces, NM
National Provider Identifier
1508844135
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1157 Issued in NM
Practice address
1155 S Telshor Blvd
Ste 200
Las Cruces, NM 88011-1009
Phone
(505) 522-8002
Fax
(505) 522-8027
NPI assigned
Jan 4, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PA9501 NM
Professional Counselor 101YP2500X 1157 NM Primary

Addresses

Primary practice location

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

Mailing address

1155 S Telshor Blvd
Ste 200
Las Cruces, NM 88011-1009
Phone (505) 522-8002

Other identifiers 1

IdentifierTypeStateIssuer
27146MedicaidNM

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 Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
1157NMMDProfessional Counselor
PA9501NMMDPsychologist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1508844135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 S TELSHOR BLVD",
            "address_2": "STE 200",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880111009",
            "telephone_number": "505-522-8002",
            "fax_number": "505-522-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 S TELSHOR BLVD",
            "address_2": "STE 200",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880111009",
            "telephone_number": "505-522-8002",
            "fax_number": "505-522-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTINAC",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MA PA LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "PA9501",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "1157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27146",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 2025; 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.