Active NPI
Stephen Tomutsa
- Professional Counselor
- Irving, TX
National Provider Identifier
1760886501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 66931
- Practice address
- 3317 Finley Rd Ste 120C
Irving, TX 75062-8722 - Phone
- (510) 375-7802
- NPI assigned
- Oct 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12608 | TX | |
| Professional Counselor | 101YP2500X | 66931 | TX | Primary |
Addresses
Primary practice location
3317 Finley Rd Ste 120C
Irving, TX 75062-8722
Mailing address
3317 Finley Rd Ste 120C
Irving, TX 75062-8722
Phone (510) 375-7802
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 |
|---|---|---|---|
| 66931 | TX | MD | Clinical Social Worker |
| 12608 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen Tomutsa | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1760886501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3317 FINLEY RD STE 120C",
"city": "IRVING",
"state": "TX",
"postal_code": "750628722",
"telephone_number": "510-375-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3317 FINLEY RD STE 120C",
"city": "IRVING",
"state": "TX",
"postal_code": "750628722",
"telephone_number": "510-375-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMUTSA",
"first_name": "STEPHEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-21",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "12608",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "66931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.