Individual provider Active NPI

Stephanie Kurtyka, LCPAT, LCPC

  • Professional Counselor
  • Frederick, MD
National Provider Identifier
1811458532
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC9422 Issued in MD
Practice address
1707 Rosemont Ave
Frederick, MD 21702-4135
Phone
(240) 285-9186
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X ATC230 MD
Professional Counselor 101YP2500X LC9422 MD Primary

Addresses

Primary practice location

1707 Rosemont Ave
Frederick, MD 21702-4135

Mailing address

17915 Lyles Dr
Hagerstown, MD 21740-9612
Phone (301) 988-7151

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
LC9422MDMDProfessional Counselor
ATC230MDMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Healing Art Therapy, LLC Professional CurrentSince Oct 17, 2021 Accepting new patients

Locations

1707 Rosemont Ave
Frederick, MD 21702
Phone (240) 347-2581

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1811458532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17915 LYLES DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217409612",
            "telephone_number": "301-988-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 ROSEMONT AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024135",
            "telephone_number": "240-285-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTYKA",
        "first_name": "STEPHANIE",
        "credential": "LCPAT, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "MD",
            "license": "ATC230",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC9422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.