Individual provider Active NPI

Audra Elizabeth Kurth, LCPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1457797987
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180008636 Issued in IL
Practice address
4054 N Lincoln Ave # 2
Chicago, IL 60618-3038
Phone
(309) 287-7216
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 180.008636 IL
Mental Health Counselor 101YM0800X 180008636 IL Primary

Addresses

Primary practice location

4054 N Lincoln Ave # 2
Chicago, IL 60618-3038

Mailing address

2737 W Ainslie St Unit 1
Chicago, IL 60625-2715
Phone (309) 287-7216

Other practice location 1

5537 N Clark St
Chicago, IL 60640-1222
Phone (309) 287-7216

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
180008636ILMDMental Health Counselor
180.008636ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Audra Kurth, LLC Mental Health Current Accepting new patients

Locations

4054 N Lincoln Ave
Ste 2
Chicago, IL 60618
Phone (309) 287-7216

Organizations & group practices 1

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": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1457797987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 W AINSLIE ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252715",
            "telephone_number": "309-287-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 N LINCOLN AVE # 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183038",
            "telephone_number": "309-287-7216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5537 N Clark St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606401222",
            "country_code": "US",
            "telephone_number": "309-287-7216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTH",
        "first_name": "AUDRA",
        "middle_name": "ELIZABETH",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "180.008636",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180008636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.