Active NPI
Marjorie Edwards Kurtz, M.A.
- Professional Counselor
- Canton, GA
National Provider Identifier
1962631135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006901
- Practice address
- 365 Hillgrove Dr
Canton, GA 30114-8602 - Phone
- (404) 769-2641
- NPI assigned
- Jul 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH10441 | FL | |
| Professional Counselor | 101YP2500X | LPC006901 | GA | Primary |
Addresses
Primary practice location
365 Hillgrove Dr
Canton, GA 30114-8602
Mailing address
365 Hillgrove Dr
Canton, GA 30114-8602
Phone (404) 769-2641
Other practice location 1
2104 SE 3rd Ave
Ocala, FL 34471-5119
Phone (352) 620-4460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240521002566 | FL | Practitioner - Mental Health Counselor | 7315389426 | Reassigns benefits to 1 organization |
| I20240708002914 | GA | Practitioner - Mental Health Counselor | 7315389426 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grow Healthcare Group PA
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC006901 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
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": "1247097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1962631135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 HILLGROVE DR",
"city": "CANTON",
"state": "GA",
"postal_code": "301148602",
"telephone_number": "404-769-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 HILLGROVE DR",
"city": "CANTON",
"state": "GA",
"postal_code": "301148602",
"telephone_number": "404-769-2641"
}
],
"practiceLocations": [
{
"address_1": "2104 SE 3rd Ave",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344715119",
"country_code": "US",
"telephone_number": "352-620-4460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KURTZ",
"first_name": "MARJORIE",
"middle_name": "EDWARDS",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-09",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10441",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC006901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.