KIMBERLY HURLBURT
NPI 1629672654
Marriage & Family Therapist in Lakewood, OH

Q: What is Kimberly Hurlburt's NPI number?

The NPI number for Kimberly Hurlburt is 1629672654. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Q: What is Kimberly Hurlburt's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Hurlburt was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 30, 2020PECOS Enrolled

1662 MARS AVE, LAKEWOOD, OH 44107(216) 282-3838 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Hurlburt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY HURLBURT (NPI 1629672654) is an individual marriage & family therapist in Lakewood, Ohio, licensed in Ohio (M.20002208-TRNE) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629672654

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKIMBERLY HURLBURT

Location Address1662 MARS AVELakewood, OH 44107-3825

Mailing Address1662 Mars AveLakewood, OH 44107-3825 · (216) 282-3838

Phone(216) 282-3838

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 30, 2020

NPPES CertifiedNovember 30, 2020

✔ NPI 1629672654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in OH · M.20002208-TRNE

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1662 MARS AVE, Lakewood, OH 44107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Hurlburt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527539600

PECOS Enrollment IDI20260609003878

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ZIELINSKI

Counselor (Professional)