Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Cory R. Shutts

Individual provider Mental Health Counselor · NPI 1770908196

Mr. Cory R. Shutts is a Mental Health Counselor in Massena, New York. Qualified in 2013, 13 years ago. Practices with Citizen Advocates, Inc, a 50-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2014

Practice location Address checks out

16 Phillips St
Massena, NY 13662-2016
Phone: (315) 764-8076
Fax: (315) 764-8079
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 80 State Highway 310, Canton, NY 13617 — (315) 386-2167

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 006804 (NY)

Record details

NPI number1770908196
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 21, 2014
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026
Mailing address80 State Highway 310 Ste 1, Canton, NY 13617-1436

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Citizen Advocates, Inc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Massena