Active NPI
Kurtis T Zuiderveen, L.P.C.
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1114176955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6732
- Practice address
- 413 S Sharon Amity Rd
Charlotte, NC 28211-2865 - Phone
- (704) 365-4545
- Fax
- (704) 365-4412
- NPI assigned
- Sep 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6732 | NC | Primary |
Addresses
Primary practice location
413 S Sharon Amity Rd
Charlotte, NC 28211-2865
Mailing address
413 S Sharon Amity Rd
Charlotte, NC 28211-2865
Phone (704) 365-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6732 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245024000000",
"number": "1114176955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 S SHARON AMITY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112865",
"telephone_number": "704-365-4545",
"fax_number": "704-365-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 S SHARON AMITY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112865",
"telephone_number": "704-365-4545",
"fax_number": "704-365-4412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUIDERVEEN",
"first_name": "KURTIS",
"middle_name": "T",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-17",
"last_updated": "2009-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "6732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.