Individual provider Active NPI

Angela M Kurtz, LPC, CAADC, NCC

  • Mental Health Counselor
  • Iron Mountain, MI
National Provider Identifier
1336583384
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401013617 Issued in MI
Practice address
1305 Prospect Ave
Iron Mountain, MI 49801-4624
Phone
(906) 282-5081
NPI assigned
Apr 22, 2013
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 6401013617 MI Primary

Addresses

Primary practice location

1305 Prospect Ave
Iron Mountain, MI 49801-4624

Mailing address

113 4TH St
P.O. Box 217
Alpha, MI 49902
Phone (906) 284-3420

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
6401013617MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Beginnings Counseling LLC CurrentSince Sep 29, 2024 Accepting new patients
Iron County Samaritan Services, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1336583384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 4TH ST",
            "address_2": "P.O. BOX 217",
            "city": "ALPHA",
            "state": "MI",
            "postal_code": "49902",
            "telephone_number": "906-284-3420",
            "fax_number": "906-265-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 PROSPECT AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014624",
            "telephone_number": "906-282-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "LPC, CAADC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401013617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.