Active NPI
Craig P Kurtz LMHC, PA
- Community/Behavioral Health Agency
- Fleming Island, FL
National Provider Identifier
1083982938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 5063
- Legal business name
- CRAIG P KURTZ LMHC, PA
- Practice address
- 877 Fleming St
Fleming Island, FL 32003-9342 - Phone
- (904) 215-5282
- Fax
- (904) 284-1624
- NPI assigned
- Dec 7, 2011
- Last updated
- Dec 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig Phillip Kurtz, LHC, CAP
- Title
- President
- Phone
- (904) 215-5282
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 5063 | FL | Primary |
Addresses
Primary practice location
877 Fleming St
Fleming Island, FL 32003-9342
Mailing address
PO Box 8057
Fleming Island, FL 32006-0005
Phone (904) 215-5282
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Orange Park, FL
- NPI 1992854541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323216000000",
"number": "1083982938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8057",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320060005",
"telephone_number": "904-215-5282",
"fax_number": "904-284-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 FLEMING ST",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320039342",
"telephone_number": "904-215-5282",
"fax_number": "904-284-1624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAIG P KURTZ LMHC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-07",
"last_updated": "2011-12-07",
"status": "A",
"authorized_official_last_name": "KURTZ",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "PHILLIP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-215-5282",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LHC, CAP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "5063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fleming Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.