Individual provider Active NPI

Theresa Marie Nutten, PHD

  • Professional Counselor
  • Kalamazoo, MI
National Provider Identifier
1982015418
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013848 Issued in MI
Practice address
350 E Michigan Ave
Suite 17
Kalamazoo, MI 49007-3800
Phone
(269) 359-1873
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 20043830A IN
Professional Counselor 101YP2500X 6401013848 MI Primary

Addresses

Primary practice location

350 E Michigan Ave
Suite 17
Kalamazoo, MI 49007-3800

Mailing address

350 E Michigan Ave Ste 17
Kalamazoo, MI 49007-3848
Phone (269) 359-1873

Other practice location 1

9670 E Washington St
Indianapolis, IN 46229-3038
Phone (317) 890-5700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tnutten@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20251216004218 IN Practitioner - Clinical Psychologist 4688169709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

9670 E Washington St
Indianapolis, IN 46229-3051
Phone (888) 484-3258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6401013848MIMDProfessional Counselor
20043830AINMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Jan 5, 2026 Accepting new patients
The Anxiety Treatment Center of West Michigan, PLLC PastSince Dec 14, 2025 Accepting new patients

Locations

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

9670 E Washington St
Indianapolis, IN 46229
Phone (317) 890-5624

Interoperability endpoints

  • Direct secure messaging: tnutten@direct.iuhealth.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1982015418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E MICHIGAN AVE STE 17",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073848",
            "telephone_number": "269-359-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E MICHIGAN AVE",
            "address_2": "SUITE 17",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073800",
            "telephone_number": "269-359-1873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9670 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462293038",
            "country_code": "US",
            "telephone_number": "317-890-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUTTEN",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20043830A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnutten@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9670 E Washington St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462293038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.