MR. CLOUD K KURTIN (NPI# 1285742114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285742114 |
| Entity Type | Individual |
| Full Name | MR. CLOUD K KURTIN |
| Credential | LBSW |
| Practice Address |
2516 Oakland Blvd Ft Worth TX 76103 |
| Mailing Address |
3501 Renzel Blvd #352 Ft Worth TX 76116 |
| Practice Telephone | 8174292290 |
| Practice Fax Number | 8174518114 |
| Mailing Telephone | 8179957434 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
25913 | TX | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
25913 | VT | Behavioral Health & Social Service Providers |
| Street Address |
2516 OAKLAND BLVD |
| City | FT WORTH |
| State | TX |
| Zip Code | 76103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487170353 | Wafaa Sabrina Chatila | Specialist/Technologist | 1307 W Mitchell St, Arlington, TX 76103 | 2017-08-22 |
| 1598281107 | Daisy Marie Coleman | Licensed Vocational Nurse | 3500 Canyon Ridge Ave, Fort Worth, TX 76103 | 2017-08-15 |
| 1972054724 | Endurance Home Health Care | Home Health | 3605 West Pioneer Parkway, Suite A5-a6, Pantego, TX 76103 | 2016-10-17 |
| 1295011369 | Marvin Eugene Williams | Dentist | 3913 E. Lancaster, Ft. Worth, TX 76103 | 2011-11-02 |
| 1790095347 | Stephanie Ann Adams | Counselor | 2401 Oakland Blvd., Suite 100, Fort Worth, TX 76103 | 2010-10-18 |
| 1376797407 | South Texas Dental Associates, L.p. | Dentist | 4229 East Lancaster Ave., Fort Worth, TX 76103 | 2008-11-17 |
| 1093998429 | Dallas/fort Worth Urology Consultants | Urology | 4809 Brentwood Stair Road, Fort Worth, TX 76103 | 2007-12-07 |
| 1700073434 | Brentwood Stair Chiropractic | Chiropractor | 4809 Brentwood Stair Rd, Fort Worth, TX 76103 | 2007-09-26 |
| 1750430583 | Henry J Bedford | Nurse Anesthetist, Certified Registered | 1807 A W Park Row, Arlington, TX 76103 | 2007-01-10 |
| 1356705131 | Vgr Vision, Inc | Technician/Technologist | 309 S Oakland Blvd, Fort Worth, TX 76103 | 2016-04-07 |
| Find all providers in zip 76103 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275065328 | Lauren Michelle Vines | Counselor | 720 Lionel Way, Ft Worth, TX 76108-4674 | 2017-03-29 |
| 1215364393 | Tabatha Gunn | Counselor | 213 Silverleaf Dr, Ft Worth, TX 76112-1130 | 2013-10-03 |
| 1356533467 | Bethany L Comeau | Counselor | 6731 Poppy Dr, Ft Worth, TX 76137-1871 | 2007-08-13 |
| 1124128723 | Richard Edwin Miller | Counselor | 800 8th Ave Ste 628, Ft Worth, TX 76104 | 2006-09-23 |
| 1679680094 | Russell Martin Dean | Counselor | 2701 Burchill Rd N, Ft Worth, TX 76105-3012 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013043 | Shayla H Rumsey | Counselor | 1137f Burton Hill Rd, Fort Worth, TX 76114-4530 | 2020-11-05 |
| 1407457385 | Rachel Marie Trembley | Counselor | 10403 School House Ln, Austin, TX 78750-1728 | 2020-11-05 |
| 1619578614 | Naquasha Riser | Counselor | 9415 Mcneil Dr Apt 623, Austin, TX 78750-8560 | 2020-11-05 |
| 1851992143 | Sheri Lynn Brown | Counselor | 11803 Briarwood Ln, Montgomery, TX 77356-5496 | 2020-11-04 |
| 1356942544 | Abigail Ibitoye | Counselor | 6300 Ridglea Pl Ste 425, Fort Worth, TX 76116-5704 | 2020-11-04 |
| 1669073037 | Lifehouse Professional Counseling Pllc | Counselor | 6602 Polaris Dr Ste 1, Laredo, TX 78041-2082 | 2020-11-03 |
| 1891396313 | On Epiphany Lane, LLC | Counselor | 603 Munger Ave Ste 100, Dallas, TX 75202-1840 | 2020-11-02 |
| 1336749597 | Ebony Jackson | Counselor | 11510 Homestead Rd Ste 295, Houston, TX 77016-1237 | 2020-10-27 |
| 1932709482 | Alexxis Nicole Warford | Counselor | 505 W University Ave Ste 105, Georgetown, TX 78626-6643 | 2020-10-26 |
| 1487253951 | Shanler Leigh Hoover | Counselor | 12800 Hillcrest Rd # A103, Dallas, TX 75230-1524 | 2020-10-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.