Active NPI
Joshua D Kurth, PH.D., LPC
- Professional Counselor
- Waterloo, IL
National Provider Identifier
1194975185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2007011891
- Practice address
- 102 W Mill St Unit 6a
Waterloo, IL 62298-1917 - Phone
- (314) 399-7202
- NPI assigned
- Sep 25, 2008
- Last updated
- Jan 9, 2025
- 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 | 2007011891 | MO | Primary |
Addresses
Primary practice location
102 W Mill St Unit 6a
Waterloo, IL 62298-1917
Mailing address
5855 LRC Rd
Waterloo, IL 62298-6557
Phone (314) 637-7443
Other practice location 1
4225 Bayless Ave
Saint Louis, MO 63123-7513
Phone (314) 637-7443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194975185 | Medicaid | MO |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007011891 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Going Public Ministries | Professional | Past | Accepting new patients |
| JN Wellness Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Christian Counseling Network
- Professional Counselor
- Saint Louis, MO
- NPI 1104157387
-
- Physical Medicine & Rehabilitation Physician
- Saint Louis, MO
- NPI 1245839166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1194975185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 LRC RD",
"city": "WATERLOO",
"state": "IL",
"postal_code": "622986557",
"telephone_number": "314-637-7443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W MILL ST UNIT 6A",
"city": "WATERLOO",
"state": "IL",
"postal_code": "622981917",
"telephone_number": "314-399-7202"
}
],
"practiceLocations": [
{
"address_1": "4225 Bayless Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631237513",
"country_code": "US",
"telephone_number": "314-637-7443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KURTH",
"first_name": "JOSHUA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PH.D., LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-25",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2007011891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194975185",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.