Christy Lynn Shutok, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH10633 Issued in FL

Practice address

10681 Airport Pulling Rd N Ste 24
Naples, FL 34109-7332

Phone

(239) 287-6624

NPI assigned

Mar 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 3, 2024 through Jul 3, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Mindflow, LLC

  • Mental Health Counselor
  • Naples, FL
  • NPI 1225780794
  NPD Authorized official
• Florida Coast Counseling LLC

  • Clinical Social Worker
  • Naples, FL
  • NPI 1457122038
  NPD (past)

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1992071773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 VANDERBILT BEACH RD STE 108",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092654",
            "telephone_number": "239-287-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10681 AIRPORT PULLING RD N STE 24",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097332",
            "telephone_number": "239-287-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTOK",
        "first_name": "CHRISTY",
        "middle_name": "LYNN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "MH10633",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurtis Shrewsberry, BCBA
• Daniel Shtirmer, DO
• Marie Guerda Shubow, INTERPRETER
• Steven Barry Shukan, M.D.
• Leonard Jay Shukovsky, M.D.
• Rowena Ann Siapno-Rasmussen, AU.D.
• Joy Kristine Sickles, CNP
• Zal Sidhwa, DMD
• Ashleigh Taylor Sidon Schwanenberger
• Victoria Sidoti

• Mental Health Counselor in Naples, FL
• Providers in Naples, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.