Active NPI
Charity Kurzman, MED, EDS
- Mental Health Counselor
- Plantation, FL
National Provider Identifier
1306012299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 8755
- Practice address
- 1860 N Pine Island Rd Ste 101
Plantation, FL 33322-5234 - Phone
- (954) 557-4235
- Fax
- (954) 678-0696
- NPI assigned
- May 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 8755 | FL | Primary |
| Marriage & Family Therapist | 106H00000X | MT 2184 | FL |
Addresses
Primary practice location
1860 N Pine Island Rd Ste 101
Plantation, FL 33322-5234
Mailing address
1860 N Pine Island Rd Ste 101
Plantation, FL 33322-5234
Phone (954) 557-4235
Other names 1
- Charity Staples
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 8755 | FL | MD | Mental Health Counselor |
| MT 2184 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1306012299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 N PINE ISLAND RD STE 101",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333225234",
"telephone_number": "954-557-4235",
"fax_number": "954-678-0696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 N PINE ISLAND RD STE 101",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333225234",
"telephone_number": "954-557-4235",
"fax_number": "954-678-0696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURZMAN",
"first_name": "CHARITY",
"credential": "MED, EDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 8755",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT 2184",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARITY",
"last_name": "STAPLES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.