Individual provider Active NPI

Sandy Theresa Kurka, LPC

  • Mental Health Counselor
  • Medina, OH
National Provider Identifier
1215083159
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C0008350 Issued in OH
Practice address
246 Northland Dr
Medina, OH 44256-1533
Phone
(330) 725-9195
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C0008350 OH Primary

Addresses

Primary practice location

246 Northland Dr
Medina, OH 44256-1533

Mailing address

941 Chadwick LN
Medina, OH 44256-7193
Phone (330) 721-9642

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

LicenseStateTypeSpecialty
C0008350OHMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: kurkas@lamplight-counseling-svc.direct.kno2fy.com

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215083159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 CHADWICK LN",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567193",
            "telephone_number": "330-721-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 NORTHLAND DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561533",
            "telephone_number": "330-725-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURKA",
        "first_name": "SANDY",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C0008350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.