Active NPI
Abbey Dawn Kurtz, MS, LPC
- Professional Counselor
- Oak Creek, WI
National Provider Identifier
1194281089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8108-125
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4274-226 | WI | MD | Professional Counselor |
| 8108-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Oak Counseling, LTD. | Current | Accepting new patients | |
| Oakwood Clinical Associates, LTD | Professional | Past | Accepting new patients |
| Optum Behavioral Care of Colorado, P.C. | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elm Grove, WI
- NPI 1609890391
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kenosha, WI
- NPI 1447289434
Professional
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
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.