Active NPI
Claude C McCutcheon III, LAC, LCDC
- Addiction (Substance Use Disorder) Counselor
- Fort Worth, TX
National Provider Identifier
1780560573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 9159
- Practice address
- 4927 Byers Ave
Fort Worth, TX 76107-4148 - Phone
- (512) 658-7582
- NPI assigned
- Aug 15, 2025
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 315 | LA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 9159 | TX | Primary |
Addresses
Primary practice location
4927 Byers Ave
Fort Worth, TX 76107-4148
Mailing address
4204 Shadow Dr
Forth Worth, TX 76116
Phone (512) 658-7582
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 |
|---|---|---|---|
| 315 | LA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1780560573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4204 SHADOW DR",
"city": "FORTH WORTH",
"state": "TX",
"postal_code": "76116",
"telephone_number": "512-658-7582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4927 BYERS AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761074148",
"telephone_number": "512-658-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUTCHEON",
"first_name": "CLAUDE",
"middle_name": "C",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LAC, LCDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-15",
"last_updated": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "315",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "9159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.