Individual provider Active NPI

Kyle Routh, LPC

  • Mental Health Counselor
  • Southaven, MS
National Provider Identifier
1750895199
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2576 Issued in MS
Practice address
7165 Getwell Rd
Southaven, MS 38672-9618
Phone
(601) 790-0583
NPI assigned
Nov 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A1610132 AR
Mental Health Counselor 101YM0800X 2576 MS Primary

Addresses

Primary practice location

7165 Getwell Rd
Southaven, MS 38672-9618

Mailing address

5295 Payton Dr W
Southaven, MS 38671-8428
Phone (601) 790-0583

Other practice location 1

120 Meghan Ln
Judsonia, AR 72081-9302
Phone (501) 729-1723

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

State licenses

LicenseStateTypeSpecialty
A1610132ARMDMental Health Counselor
2576MSMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1750895199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 PAYTON DR W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386718428",
            "telephone_number": "601-790-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7165 GETWELL RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729618",
            "telephone_number": "601-790-0583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Meghan Ln",
            "address_purpose": "LOCATION",
            "city": "Judsonia",
            "state": "AR",
            "postal_code": "720819302",
            "country_code": "US",
            "telephone_number": "501-729-1723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUTH",
        "first_name": "KYLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-21",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1610132",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "2576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.