Individual provider Active NPI

Kormasah Karmala Curtis, LMFT

  • Marriage & Family Therapist
  • Jacksonville, FL
National Provider Identifier
1255868832
Registry record updated Dec 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3306 Issued in FL
Practice address
3560 Cardinal Point Dr Ste 204
Jacksonville, FL 32257-9238
Phone
(904) 737-7242
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3306 FL Primary

Addresses

Primary practice location

3560 Cardinal Point Dr Ste 204
Jacksonville, FL 32257-9238

Mailing address

7701 Timberlin Park Blvd Apt 522
Jacksonville, FL 32256-5443

Other practice location 1

7701 Timberlin Park Blvd Apt 522
Jacksonville, FL 32256-5443
Phone (904) 802-2571

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
MT3306FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Center for Counseling, Inc. Marriage & Family Therapist CurrentSince Dec 13, 2020 Accepting new patients
Arise Wellness, PLLC Marriage & Family Therapist CurrentSince Dec 13, 2020 Accepting new patients
Teladoc Health Medical Group, P.a. Marriage & Family Therapist Current Accepting new patients
Jban, LLC Past Accepting new patients

Locations

3560 Cardinal Point Dr
Ste 204
Jacksonville, FL 32257
Phone (904) 737-7242

Interoperability endpoints

  • Direct secure messaging: kormasahcurtis@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1255868832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 TIMBERLIN PARK BLVD APT 522",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322565443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 CARDINAL POINT DR STE 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322579238",
            "telephone_number": "904-737-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7701 Timberlin Park Blvd Apt 522",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322565443",
            "country_code": "US",
            "telephone_number": "904-802-2571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "KORMASAH",
        "middle_name": "KARMALA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; 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.