MR. DAVID BURTLESS (NPI# 1053572669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053572669 |
| Entity Type | Individual |
| Full Name | MR. DAVID BURTLESS |
| Credential | LPC |
| Practice Address |
13825 N 7th St Suite F Phoenix AZ 85022-4342 |
| Mailing Address |
19258 N 20th Dr Phoenix AZ 85027-5252 |
| Practice Telephone | 6232492648 |
| Mailing Telephone | 6232492648 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-12552 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
13825 N 7TH ST SUITE F |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85022-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568429892 | Barbara Regina Kluger | Podiatrist | 13825 N 7th St, Suite J, Phoenix, AZ 85022-4342 | 2006-04-28 |
| 1851765531 | Rebecca Le Roy | Nurse Practitioner | 13825 N 7th St, Phoenix, AZ 85022-4342 | 2015-11-18 |
| 1396132791 | Healing Journeys, LLC | Acupuncturist | 13825 N 7th St, Suite H, Phoenix, AZ 85022-4342 | 2015-04-23 |
| 1710328356 | Charmaine Marck | Acupuncturist | 13825 N 7th St, Suite H, Phoenix, AZ 85022-4342 | 2013-07-11 |
| 1427495654 | Keystone Medical Institute | Family Medicine | 13825 N 7th St, Suite A, Phoenix, AZ 85022-4342 | 2013-05-29 |
| 1376725895 | Barbara R Kluger | Podiatrist | 13825 N 7th St, Suite J, Phoenix, AZ 85022-4342 | 2007-11-27 |
| 1093869216 | Nathan M Easton | Dentist | 13825 N 7th St, Suite C, Phoenix, AZ 85022-4342 | 2007-01-23 |
| 1417016841 | Dr Earl S Kimbell IIi Do PC | Clinic/Center | 13825 N 7th St, Suite F, Phoenix, AZ 85022-4342 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
| 1215455498 | Kristi Etchechury | Occupational Therapy Assistant | 807 East Beck Lane, Phoenix, AZ 85022 | 2017-09-07 |
| 1871017103 | Julie Dale | Physical Therapist | 1910 E Kathleen Rd, Phoenix, AZ 85022 | 2017-07-28 |
| 1669994539 | Valley Wellness Center Pllc | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022 | 2017-07-12 |
| 1386001758 | Debbie Mulder | Behavioral Analyst | 2400 West Dunlap Ave., Suite 100, Glendale, AZ 85022 | 2016-01-15 |
| 1114383437 | Jean Fay King | Nurse Practitioner | 15409 N. 23rd St., Phoenix, AZ 85022 | 2016-01-04 |
| 1093050767 | Cheyanne Wilderness Gastelum | Midwife | 2236 E. Delgado St., Phoenix, AZ 85022 | 2012-12-06 |
| 1760731236 | Nicole Ann Raus | Occupational Therapy Assistant | 15414 N. 7th Street, Suite 3, Phoenix, AZ 85022 | 2012-08-30 |
| 1144593211 | Edward Najeeb Abraham | Family Medicine | 14419 N. 5th Place, Phoenix, AZ 85022 | 2012-02-20 |
| 1942506019 | Mirnes Mehic | Assisted Living Facility | 2018 E. Wagoner Rd., Phoenix, AZ 85022 | 2011-02-07 |
| Find all providers in zip 85022 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922615 | Gift of Hearts Home LLC | Counselor | 4547 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-11-02 |
| 1952901332 | Jennifer Barreras | Counselor | 1818 E Burgess Ln, Phoenix, AZ 85042-4518 | 2020-10-27 |
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1174135487 | Kelli Randon | Counselor | 14040 N Cave Creek Rd Ste 207, Phoenix, AZ 85022-6179 | 2020-08-18 |
| 1891307328 | Empire Health and Therapy LLC | Counselor | 1730 W Lacewood Pl, Phoenix, AZ 85045-0528 | 2020-08-17 |
| 1043821747 | Annette M Callahan | Counselor | 3229 E Briarwood Ter, Phoenix, AZ 85048-7843 | 2020-08-14 |
| 1528679032 | Apex Rising Community Services LLC | Counselor | 4150 W Peoria Ave Ste 220, Phoenix, AZ 85029-3956 | 2020-08-10 |
| 1780293654 | Mitsrain's House of Hope LLC | Counselor | 5744 N 41st Ave, Phoenix, AZ 85019-1814 | 2020-07-27 |
| 1740898378 | Samantha Cheyenne-dahl Moss | Counselor | 3519 E Shea Blvd Ste 138, Phoenix, AZ 85028-3349 | 2020-07-20 |
| 1083231856 | Amber Taylor | Counselor | 21640 N 19th Ave, Phoenix, AZ 85027-2720 | 2020-06-28 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.