Individual provider Active NPI

Jennifer Kurtz

  • Counselor
  • Columbus, OH
National Provider Identifier
1720671936
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2238 S Hamilton Rd
Columbus, OH 43232-4382
Phone
(614) 751-0042
NPI assigned
Feb 18, 2021
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Counselor 101Y00000X OH Primary

Addresses

Primary practice location

2238 S Hamilton Rd
Columbus, OH 43232-4382

Mailing address

353 Preswicke ML
Blacklick, OH 43004-8479
Phone (614) 795-0218

Other practice location 1

353 Preswicke Ml
Blacklick, OH 43004-8479
Phone (614) 795-0218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250110003292 OH Practitioner - Mental Health Counselor 8729516299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Ohio Psychological Services, IncGroup PAC ID 3577585819, 12 clinicians

Practice addresses (Care Compare)

106 Starret St
Suite 100
Lancaster, OH 43130-3993
Phone (740) 687-0042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Psychological Services Inc Counselor CurrentSince Sep 26, 2024 Accepting new patients
Mid-Ohio Psychological Services Inc Counselor PastSince Oct 5, 2021 Accepting new patients

Locations

106 Starret St
Ste 100
Lancaster, OH 43130
Phone (740) 687-0042

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1720671936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 PRESWICKE ML",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430048479",
            "telephone_number": "614-795-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 S HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324382",
            "telephone_number": "614-751-0042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 Preswicke Ml",
            "address_purpose": "LOCATION",
            "city": "Blacklick",
            "state": "OH",
            "postal_code": "430048479",
            "country_code": "US",
            "telephone_number": "614-795-0218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.