KURT THOMAS CHURCHILL
NPI 1952505646
Counselor - Mental Health in Santa Cruz, CA
About Kurt Thomas Churchill NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KURT THOMAS CHURCHILL (NPI 1952505646) is an individual mental health provider in Santa Cruz, California and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kurt Thomas Churchill is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kurt Churchill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Walnut Creek, CA 94598
- Reassigned Medicare billing, California enrollment
- 137 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA CRUZ, CA 95060
SANTA CRUZ, CA 95060
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 Kurt Churchill's NPI number?
The NPI number for Kurt Churchill is 1952505646. It was assigned to this individual provider in the NPPES registry on June 14, 2007.
Where is Kurt Churchill located?
Kurt Churchill practices at 1400 Emeline Ave, Santa Cruz, CA 95060. The listed phone number is (831) 454-5275.
What is Kurt Churchill's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kurt Churchill enrolled in Medicare?
Yes. Kurt Churchill is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kurt Churchill's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kurt Churchill reassigns Medicare benefits to Integrated Pain Management Medical Group, Inc. (Walnut Creek, CA). 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 Kurt Churchill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kurt Churchill was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Kurt Thomas Churchill · NPI 1952505646
Mental Health provider in Santa Cruz, California. Individual provider, active in the CMS NPPES registry since June 14, 2007.
## Identity
- **NPI:** 1952505646 (Entity type: Individual)
- **Enumerated:** June 14, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1400 EMELINE AVE, Santa Cruz, CA 95060-1976
- **Phone:** (831) 454-5275
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Integrated Pain Management Medical Group, Inc. (NPI 1922198779, Walnut Creek, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Other C5532264 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1952505646) · Data from the CMS NPPES public registry.