Active NPI
Kurtis James Pugh, LPC
- Professional Counselor
- Nampa, ID
National Provider Identifier
1982018578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6461673
- Practice address
- 124 McClure Ave
Nampa, ID 83651-2025 - Phone
- (719) 369-6063
- NPI assigned
- Jun 11, 2014
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6461673 | ID | Primary |
Addresses
Primary practice location
124 McClure Ave
Nampa, ID 83651-2025
Mailing address
16848 Chambers Way
Caldwell, ID 83607-5518
Phone (719) 369-6063
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6461673 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1982018578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16848 CHAMBERS WAY",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836075518",
"telephone_number": "719-369-6063",
"fax_number": "801-373-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 MCCLURE AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836512025",
"telephone_number": "719-369-6063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGH",
"first_name": "KURTIS",
"middle_name": "JAMES",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-11",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "6461673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.