Individual provider Active NPI

Laura May Jenkins Kurek

  • Mental Health Counselor
  • Aptos, CA
National Provider Identifier
1649435298
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
79083 Issued in CA
Practice address
3060 Valencia Ave
Suite 6
Aptos, CA 95003-4165
Phone
(831) 460-2550
Fax
(831) 688-1718
NPI assigned
Jul 23, 2008
Last updated
Jan 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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 79083 CA Primary

Addresses

Primary practice location

3060 Valencia Ave
Suite 6
Aptos, CA 95003-4165

Mailing address

3060 Valencia Ave
Suite 6
Aptos, CA 95003-4165
Phone (831) 460-2550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 28, 2024 through Feb 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
79083CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates of Relational Resources Past Accepting new patients

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, 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": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1649435298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 VALENCIA AVE",
            "address_2": "SUITE 6",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034165",
            "telephone_number": "831-460-2550",
            "fax_number": "831-688-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 VALENCIA AVE",
            "address_2": "SUITE 6",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034165",
            "telephone_number": "831-460-2550",
            "fax_number": "831-688-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUREK",
        "first_name": "LAURA",
        "middle_name": "MAY JENKINS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "79083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aptos, CA

Sources for this page

Verify at the official NPI Registry.