Individual provider Active NPI

Frederick Harris Kuttner, MA

  • Professional Counselor
  • Santa Cruz, CA
National Provider Identifier
1871876540
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A11146 Issued in NC
Practice address
725 Front St Ste 200
Santa Cruz, CA 95060-4538
Phone
(831) 588-5335
NPI assigned
Sep 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A11146 NC Primary

Addresses

Primary practice location

725 Front St Ste 200
Santa Cruz, CA 95060-4538

Mailing address

518 Mill Pond Dr
San Jose, CA 95125-1413
Phone (831) 588-5335

Other practice location 1

1190 S Bascom Ave Ste 139
San Jose, CA 95128-3512
Phone (831) 588-5335

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A11146NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1871876540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 MILL POND DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951251413",
            "telephone_number": "831-588-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 FRONT ST STE 200",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604538",
            "telephone_number": "831-588-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 S Bascom Ave Ste 139",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951283512",
            "country_code": "US",
            "telephone_number": "831-588-5335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUTTNER",
        "first_name": "FREDERICK",
        "middle_name": "HARRIS",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A11146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.