Active NPI
Kirby K. Reutter, PHD, MSCP, LMHC
- Clinical Psychologist
- Bastrop, TX
National Provider Identifier
1932544590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 37448
- Practice address
- 136 Clear Water Pass
Bastrop, TX 78602-2434 - Phone
- (512) 788-5611
- Fax
- (512) 456-8124
- NPI assigned
- May 8, 2013
- Last updated
- Sep 16, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 37448 | TX | Primary |
| Clinical Psychologist | 103TC0700X | 7158 | OH | |
| Mental Health Counselor | 101YM0800X | 39002367A | IN | |
| Clinical Psychologist | 103TC0700X | 071.010833 | IL |
Addresses
Primary practice location
136 Clear Water Pass
Bastrop, TX 78602-2434
Mailing address
136 Clear Water Pass
Bastrop, TX 78602-2434
Phone (512) 788-5611
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39002367A | IN | MD | Mental Health Counselor |
| 071.010833 | IL | MD | Clinical Psychologist |
| 7158 | OH | MD | Clinical Psychologist |
| 37448 | TX | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Mental Health Associates PC | Clinical | 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.
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1134175763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1932544590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 CLEAR WATER PASS",
"city": "BASTROP",
"state": "TX",
"postal_code": "786022434",
"telephone_number": "512-788-5611",
"fax_number": "512-456-8124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 CLEAR WATER PASS",
"city": "BASTROP",
"state": "TX",
"postal_code": "786022434",
"telephone_number": "512-788-5611",
"fax_number": "512-456-8124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REUTTER",
"first_name": "KIRBY",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "PHD, MSCP, LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-08",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "37448",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "7158",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39002367A",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.010833",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, TX
- Rithika Ravishankar
- Rescare Services, Inc. (Jefferson Community Residence)
- Rescare Services, Inc. (Bastrop Community Residence)
- Rescare Services, Inc. (Lakeview Community Residence)
- Restorative Mental Health PLLC (Family Recovery Essentials)
- Rosalidia Reyes
- Tiffanie R Richard
- Robert F Riegler, O.D.
- Scott Michael Riley, MSPT
- Taylor Elayne Riley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.