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

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: October 18, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Hurlburt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
5338 MEADOW LANE CT
Sheffield Village, OH 44035
  • Reassigned Medicare billing, Ohio enrollment
  • 26 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Counselor (Professional)
1662 MARS AVE
LAKEWOOD, OH 44107
Counselor
1662 MARS AVE
LAKEWOOD, OH 44107
Counselor (Professional)
1662 MARS AVE
LAKEWOOD, OH 44107
Counselor (Professional)
1662 MARS AVE
LAKEWOOD, OH 44107
Counselor (Professional)
1662 MARS AVE
LAKEWOOD, OH 44107
Counselor (Professional)
1662 MARS AVE
LAKEWOOD, OH 44107
Counselor
1662 MARS AVE
LAKEWOOD, OH 44107
Counselor (Mental Health)
1662 MARS AVE
LAKEWOOD, OH 44107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Kimberly Hurlburt located?

Kimberly Hurlburt practices at 1662 Mars Ave, Lakewood, OH 44107. The listed phone number is (216) 282-3838.

What is Kimberly Hurlburt's specialty?

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

Is Kimberly Hurlburt enrolled in Medicare?

Yes. Kimberly Hurlburt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Hurlburt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Hurlburt reassigns Medicare benefits to Grow Well Cleveland, LLC (Sheffield Village, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Hurlburt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Hurlburt accept?

Health plans from Anthem Blue Cross and Blue Shield list Kimberly Hurlburt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.