Kurina Fort
Counselor, Mental Health in Chicago, IL. Individual provider (NPI-1).
NPI number1245084797
StatusActive
Last updated in NPPESApr 12, 2024
Details
- NPI
- 1245084797
- Entity type
- Individual (NPI-1)
- Name
- Kurina Fort
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2024
- Certification date
- Apr 12, 2024
- Last updated
- Apr 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
630 W Cornelia Ave Apt 3nChicago, IL 60657-2526
Phone 301-310-9099
Mailing address
630 W Cornelia Ave Apt 3nChicago, IL 60657-2526
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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