Active NPI
Casper T Wurtsmith, MA, LPC, CAADC
- Professional Counselor
- Petoskey, MI
National Provider Identifier
1548599129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401011588
- Practice address
- 318 E Mitchell St
Suite #2
Petoskey, MI 49770-2616 - Phone
- (231) 838-8976
- NPI assigned
- Dec 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401011588 | MI | Primary |
Addresses
Primary practice location
318 E Mitchell St
Suite #2
Petoskey, MI 49770-2616
Mailing address
1325 Crestview Dr
Unit 37
Petoskey, MI 49770-9286
Phone (231) 838-8976
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011588 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383264000000",
"number": "1548599129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 CRESTVIEW DR",
"address_2": "UNIT 37",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497709286",
"telephone_number": "231-838-8976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 E MITCHELL ST",
"address_2": "SUITE #2",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702616",
"telephone_number": "231-838-8976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WURTSMITH",
"first_name": "CASPER",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "MA, LPC, CAADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-10",
"last_updated": "2013-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401011588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.