Craig P Kurtz LMHC, PA
Organization Active NPI Community/Behavioral Health Agency · Fleming Island, FL
NPI 1083982938 · NPPES record last updated Dec 7, 2011
Key facts
- NPI
- 1083982938
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 5063 (FL)
- 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Craig Phillip Kurtz, LHC, CAP
- Title
- President
- Phone
- (904) 215-5282
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 5063 | FL | Yes |
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
NPI Registry JSON
{
"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
- Katelyn Cory
- Jose Eduardo Costa Filho
- Counseling by Katie
- Allison H Courson
- Cowford Medical LLC
- Charlotte Crawford
- Lauren E Crawford
- Annette Louise Croskey-Zivkovic
- Curtis Marc Standish, D.M.D., P.a.
- Richard D Curtis
All providers in Fleming Island, FL · Community/Behavioral Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.