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MR. CORY R. SHUTTS
NPI 1770908196
Counselor - Mental Health in Massena, NY

Active since February 21, 2014PECOS Enrolled
16 PHILLIPS ST, MASSENA, NY 13662(315) 764-8076(315) 764-8079 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Cory R. Shutts NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CORY R. SHUTTS (NPI 1770908196) is an individual mental health provider in Massena, New York, licensed in New York (006804) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1770908196
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. CORY R. SHUTTS
Location Address16 PHILLIPS STMassena, NY 13662-2016
Mailing Address80 State Highway 310 Ste 1Canton, NY 13617-1436 · (315) 386-2167 · Fax (315) 386-2435
Phone(315) 764-8076
Fax(315) 764-8079
Sole ProprietorNo
Enumeration DateFebruary 21, 2014
Last NPPES UpdateMay 8, 2026
NPPES CertifiedMay 8, 2026
✔ NPI 1770908196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 006804
16 PHILLIPS ST, Massena, NY 13662
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Secondary Practice Location 1

Location 180 State Highway 310, Suite 1Canton, NY 13617 · Phone (315) 386-2167 · Fax (315) 386-2435

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Cory R. Shutts is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE L NILES
Peer Specialist
16 PHILLIPS ST
MASSENA, NY 13662
St. Lawrence County (315) 764-8076
JACQUELINE LOUISE SCOTT-HARDY LMSW
Social Worker
16 PHILLIPS ST
MASSENA, NY 13662
St. Lawrence County (315) 764-8076
NICOLE E STOWELL
Licensed Practical Nurse
16 PHILLIPS ST
MASSENA, NY 13662
St. Lawrence County (315) 476-8076
MS. MICHELLE ASHLEY SMOKE LMHC
Counselor (Mental Health)
16 PHILLIPS ST
MASSENA, NY 13662
St. Lawrence County (315) 764-8076
KIRSTIE ANN LAVARE
Licensed Practical Nurse
16 PHILLIPS ST
MASSENA, NY 13662
St. Lawrence County (315) 764-8076
DEBORAH SUSAN ALGUIRE RN
Registered Nurse
16 PHILLIPS ST
MASSENA, NY 13662
St. Lawrence County (315) 764-8076
SANGITA CHADHA
Health and Wellness Coach
16 PHILLIPS ST
MASSENA, NY 13662
St. Lawrence County (315) 766-6392
JILL KENNEDY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
16 PHILLIPS ST
MASSENA, NY 13662
St. Lawrence County (518) 764-8076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cory Shutts's NPI number?

The NPI number for Cory Shutts is 1770908196. It was assigned to this individual provider in the NPPES registry on February 21, 2014.

Where is Cory Shutts located?

Cory Shutts practices at 16 Phillips St, Massena, NY 13662. The listed phone number is (315) 764-8076.

What is Cory Shutts's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Cory Shutts enrolled in Medicare?

Yes. Cory Shutts is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cory Shutts was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.