Individual provider Active NPI

Craig Phillip Kurtz, LMHC, CAP

  • Mental Health Counselor
  • Orange Park, FL
National Provider Identifier
1992854541
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5063 Issued in FL
Practice address
1542 Kingsley Ave
#145
Orange Park, FL 32073-4586
Phone
(904) 215-5282
Fax
(904) 284-1624
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5063 FL
Mental Health Counselor 101YM0800X 5063 FL Primary

Addresses

Primary practice location

1542 Kingsley Ave
#145
Orange Park, FL 32073-4586

Mailing address

877 Fleming St
Green Cove Springs, FL 32043-9342
Phone (904) 215-5282

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

LicenseStateTypeSpecialty
5063FLMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1992854541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 FLEMING ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320439342",
            "telephone_number": "904-215-5282",
            "fax_number": "904-284-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 KINGSLEY AVE",
            "address_2": "#145",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734586",
            "telephone_number": "904-215-5282",
            "fax_number": "904-284-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "CRAIG",
        "middle_name": "PHILLIP",
        "name_prefix": "Mr.",
        "credential": "LMHC, CAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "5063",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "5063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.