Individual provider Active NPI

Abbey Dawn Kurtz, MS, LPC

  • Professional Counselor
  • Oak Creek, WI
National Provider Identifier
1194281089
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8108-125 Issued in WI
Practice address
8825 S Howell Ave Ste 200
Oak Creek, WI 53154-3760
Phone
(414) 215-7554
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4274-226 WI
Professional Counselor 101YP2500X 8108-125 WI Primary

Addresses

Primary practice location

8825 S Howell Ave Ste 200
Oak Creek, WI 53154-3760

Mailing address

916 Michigan Ave
South Milwaukee, WI 53172-2626

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4274-226WIMDProfessional Counselor
8108-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Red Oak Counseling, LTD. CurrentSince Jan 1, 2024 Accepting new patients
Oakwood Clinical Associates, LTD Professional PastSince Mar 12, 2015 Accepting new patients
Optum Behavioral Care of Colorado, P.C. PastSince Nov 24, 2019 Accepting new patients

Locations

8825 S Howell Ave
Ste 200
Oak Creek, WI 53154
Phone (414) 215-7554

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1194281089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 MICHIGAN AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531722626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 S HOWELL AVE STE 200",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543760",
            "telephone_number": "414-215-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "ABBEY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4274-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8108-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.