Jackie Kurtz, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11767 Issued in NC

Practice address

132 Joe Knox Ave Ste 100E
Mooresville, NC 28117-9203

Phone

(704) 682-0384

Fax

(704) 353-7944

NPI assigned

Oct 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Greenwood Counseling Center, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mooresville, NC
  • NPI 1730694928
  NPD Authorized official
• Greenwood Counseling Center TN, PLLC

  • Professional Counselor
  • Hendersonville, TN
  • NPI 1770397903
  NPD Authorized official

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

{
    "created_epoch": "1445126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1881065787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 SWEETBRIAR LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281159333",
            "telephone_number": "704-682-0384",
            "fax_number": "704-353-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 JOE KNOX AVE STE 100E",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179203",
            "telephone_number": "704-682-0384",
            "fax_number": "704-353-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "JACKIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-18",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Kucko, PT
• Benjamin Kunesh, MD
• Adam Kurtz
• Christi Leigh Kurtz, LCMHC
• Deborah Anne Kurtz, LCAS-A
• Lynne M Kushnirenko, D.C.
• William Alvin Kutner Jr., MD
• Sara E Kuzma, LCMHCA
• L a Lorenzo MD Pathology Consult Services P a
• La Anderson & Associates PLLC

• Professional Counselor in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.