Active NPI
Barry Frank Kurz, LCSW
- Social Worker
- Peoria, IL
National Provider Identifier
1902916430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 7802 N University
Suite 207
Peoria, IL 61614-8302 - Phone
- (309) 693-0111
- Fax
- (309) 693-0112
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | IL | Primary |
Addresses
Primary practice location
7802 N University
Suite 207
Peoria, IL 61614-8302
Mailing address
7802 N University
Suite 207
Peoria, IL 61614-8302
Phone (309) 693-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007271403 | Other | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149000773 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902916430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7802 N UNIVERSITY",
"address_2": "SUITE 207",
"city": "PEORIA",
"state": "IL",
"postal_code": "616148302",
"telephone_number": "309-693-0111",
"fax_number": "309-693-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7802 N UNIVERSITY",
"address_2": "SUITE 207",
"city": "PEORIA",
"state": "IL",
"postal_code": "616148302",
"telephone_number": "309-693-0111",
"fax_number": "309-693-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURZ",
"first_name": "BARRY",
"middle_name": "FRANK",
"name_prefix": "Dr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0007271403",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
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.