Cory R. Shutts

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006804 Issued in NY

Practice address

16 Phillips St
Massena, NY 13662-2016

Phone

(315) 764-8076

Fax

(315) 764-8079

NPI assigned

Feb 21, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Citizen Advocates, IncGroup PAC ID 0648241976, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Citizen Advocates, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Malone, NY
  • NPI 1780619064
  Medicare reassignment Care Compare group
• United Helpers Care Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ogdensburg, NY
  • NPI 1932938479
  Medicare reassignment NPD
• Professional Medical Concierge Services, PLLC

  • Family Medicine Physician
  • Saratoga Springs, NY
  • NPI 1841812310
  Medicare reassignment
• United Helpers Care Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Ogdensburg, NY
  • NPI 1578559159
  NPD
• United Helpers Care Inc

  • Medical Physician Assistant
  • Ogdensburg, NY
  • NPI 1740167535
  NPD
• St Lawrence County

  • Community/Behavioral Health Agency
  • Canton, NY
  • NPI 1699898635
  NPD (past)
• St Lawrence County

  • Multi-Specialty Clinic/Center
  • Canton, NY
  • NPI 1861551822
  NPD (past)

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1770908196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 STATE HIGHWAY 310 STE 1",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171436",
            "telephone_number": "315-386-2167",
            "fax_number": "315-386-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PHILLIPS ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136622016",
            "telephone_number": "315-764-8076",
            "fax_number": "315-764-8079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 State Highway 310",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NY",
            "postal_code": "13617",
            "country_code": "US",
            "telephone_number": "315-386-2167",
            "fax_number": "315-386-2435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUTTS",
        "first_name": "CORY",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-21",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seaway Chiropractic, P.C.
• Seaway Orthopedics, PC
• Excelsa Serabian, D.D.S
• Sanjay N Shah, M.D.
• Charity Ann Shoen
• Jake Singer, PHARM D
• Birinder S Singh, MD
• Kimberly Ann Sirles, DOULA
• Stephen D Smith, OD
• Michelle Ashley Smoke, LMHC

• Mental Health Counselor in Massena, NY
• Providers in Massena, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.