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Samuel Kurkiewicz , LMHC

Counselor - Professional β€’ Pace, FL

Active NPI 1457838351 Individual Practitioner Male Practitioner
Practice location in NPPES

5328 Talon Rd
Pace, FL 325719660

Call 8176913470 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5328 Talon Rd

Pace, FL 325719660

Telephone 8176913470

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2002

Years since graduation

24 years (graduated 2002)

CMS Doctors and Clinicians data list 2002 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Samuel Kurkiewicz has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Samuel Kurkiewicz as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Pace and Florida

2 active clinicians are listed under Counselor - Professional with a practice address in Pace, FL (869 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-29
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES FL MH24513
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20260508001575

Enrollment State Jurisdiction

FL

PECOS Control ID

2860960721

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 29, 2025

Registered at 5328 TALON RD, PACE, FL 325719660 (Tel: 8176913470)

πŸ“
Updated Business Mailing Address August 29, 2025

Registered at 5328 TALON RD, PACE, FL 325719660

πŸ‘€
Provider Name / Credentials Updated August 29, 2025

Recorded as SAMUEL KURKIEWICZ, LMHC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2025

Counselor (license number reported to NPPES: FL MH24513)

βœ…
NPI Profile Active July 24, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 24, 2018

Registered at 203B WESTPORT DR, CABOT, AR 720233657 (Tel: 5018439233)

πŸ“
Business Mailing Address (Initial Record) July 24, 2018

Registered at 203B WESTPORT DR, CABOT, AR 720233657 (Tel: 5018439233)

πŸ‘€
Provider Name / Credentials (Initial Record) July 24, 2018

Recorded as SAMUEL KURKIEWICZ, QBHP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2018

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration July 24, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457838351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2018
Last Update: August 29, 2025
Sole Proprietor: Yes

Mailing Address

5328 Talon Rd

Pace, FL 325719660

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.