Kurt Dupont, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

140851 Issued in OH

Practice address

8440 Market St Ste 200
Boardman, OH 44512-6702

Phone

(330) 286-0050

Fax

(330) 286-0055

NPI assigned

Oct 13, 2016

Last updated

Oct 13, 2016By the provider in NPPES

Sex

Male

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

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.

• Redy Youth Services, Inc

  • Community/Behavioral Health Agency
  • Canfield, OH
  • NPI 1134902794
  NPD Authorized official

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1942750070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 MARKET ST STE 200",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126702",
            "telephone_number": "330-286-0050",
            "fax_number": "330-286-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 MARKET ST STE 200",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126702",
            "telephone_number": "330-286-0050",
            "fax_number": "330-286-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPONT",
        "first_name": "KURT",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "140851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Dubaj, MD
• Valentina Khoury Dubasik, ND, LAC
• Leslie E Dugan, RDLD
• John Lowe Dunne Jr., D.O.
• Cara Dupont
• Andrew Jeremy Durig, RBT
• Sofia Rose Durina, FNP-C
• Anthony Durkin
• Michelle Elizabeth Durrant, AU.D
• Caylee Madison Duskey

• Addiction (Substance Use Disorder) Counselor in Boardman, OH
• Providers in Boardman, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.