Individual provider Active NPI

Kathleen Weaver Kurtz, D.MIN., LPC

  • Pastoral Counselor
  • Manassas, VA
National Provider Identifier
1639370679
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
0701002802 Issued in VA
Practice address
10047 Nokesville Rd
Manassas, VA 20110-4131
Phone
(703) 903-9696
Fax
(703) 821-2505
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 0701002802 VA Primary

Addresses

Primary practice location

10047 Nokesville Rd
Manassas, VA 20110-4131

Mailing address

1716 Chain Bridge Rd.
McLean, VA 22101-0700
Phone (703) 903-9696

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
0701002802VAMDPastoral Counselor

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639370679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 CHAIN BRIDGE RD.",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221010700",
            "telephone_number": "703-903-9696",
            "fax_number": "703-821-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10047 NOKESVILLE RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104131",
            "telephone_number": "703-903-9696",
            "fax_number": "703-821-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "KATHLEEN",
        "middle_name": "WEAVER",
        "name_prefix": "Dr.",
        "credential": "D.MIN., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "VA",
            "license": "0701002802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.