Active NPI
Kyle Routh, LPC
- Mental Health Counselor
- Southaven, MS
National Provider Identifier
1750895199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2576
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A1610132 | AR | MD | Mental Health Counselor |
| 2576 | MS | MD | Mental 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.