Kevin M Rutter, MS, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

851 Issued in NC

Practice address

715 Fairgrove Church Rd SE Ste 202
Conover, NC 28613-9289

Phone

(828) 638-5907

Fax

(828) 322-2280

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Growing Tree Counseling Center, PLLC

  • Marriage & Family Therapist
  • Conover, NC
  • NPI 1144242181
  NPD (past) Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1629090667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 FAIRGROVE CHURCH RD SE STE 202",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139289",
            "telephone_number": "828-638-5907",
            "fax_number": "828-322-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 FAIRGROVE CHURCH RD SE STE 202",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139289",
            "telephone_number": "828-638-5907",
            "fax_number": "828-322-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTTER",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "851",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105243",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Restoration Home Care Services
• Restoration Home Care Services Inc.
• Chelsea Marie Rhymer
• Richard A Riffle, CP
• Irving Rojo
• Samantha Aiezza DMD PLLC
• Edward Ray Scott II, D.D.S.
• Jeanine Theresa Scott, P.T.
• Karen Hartman Self, FNP-C
• Paris A. R. Sellers, PA-C

• Mental Health Counselor in Conover, NC
• Providers in Conover, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.