Individual provider Active NPI

Charity Kurzman, MED, EDS

  • Mental Health Counselor
  • Plantation, FL
National Provider Identifier
1306012299
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 8755 Issued in FL
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

Updated by the provider on May 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
MH 8755FLMDMental Health Counselor
MT 2184FLMDMarriage & 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.

Verify at the official NPI Registry.