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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 7, 2011.

{
    "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

All providers in Fleming Island, FL · Community/Behavioral Health Agency in Florida

Sources for this page

Verify at the official NPI Registry.