Individual provider Active NPI

Kimberly Ann Slavich Hurd, LPC

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1245689280
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69573 Issued in TX
Practice address
3815 Lisbon St
Fort Worth, TX 76107-5601
Phone
(817) 320-2094
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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 69573 TX Primary

Addresses

Primary practice location

3815 Lisbon St
Fort Worth, TX 76107-5601

Mailing address

1905 Rio Costilla Rd
Fort Worth, TX 76131-1655
Phone (817) 320-2094

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
69573TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hurd Counseling Services PLLC CurrentSince Oct 13, 2024 Accepting new patients
PSP Professional Services, Inc. Professional Past Accepting new patients

Locations

3815 Lisbon St
Ste 202
Ft Worth, TX 76107
Phone (817) 320-2094

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1245689280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 RIO COSTILLA RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761311655",
            "telephone_number": "817-320-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 LISBON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075601",
            "telephone_number": "817-320-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURD",
        "first_name": "KIMBERLY",
        "middle_name": "ANN SLAVICH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69573",
            "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 Oct 8, 2024; 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.