Individual provider Active NPI

Jack Milton Curlee Jr., M.A.

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1205246758
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3629 Western Center Blvd.
Suite 211
Fort Worth, TX 76137
Phone
(817) 232-9400
Fax
(817) 232-9403
NPI assigned
May 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X TX Primary

Addresses

Primary practice location

3629 Western Center Blvd.
Suite 211
Fort Worth, TX 76137

Mailing address

3629 Western Center Blvd.
Suite 211
Fort Worth, TX 76137
Phone (817) 232-9400

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 Arts

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1205246758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 WESTERN CENTER BLVD.",
            "address_2": "SUITE 211",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76137",
            "telephone_number": "817-232-9400",
            "fax_number": "817-232-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 WESTERN CENTER BLVD.",
            "address_2": "SUITE 211",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76137",
            "telephone_number": "817-232-9400",
            "fax_number": "817-232-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURLEE",
        "first_name": "JACK",
        "middle_name": "MILTON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.