JAMES LEE BURDICK (NPI# 1457300568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457300568 |
Entity Type | Individual |
Full Name | JAMES LEE BURDICK |
Credential | LPC |
Practice Address |
3910 S Old Highway 94 Suite 110 Saint Charles MO 63304-2834 |
Mailing Address |
232 Southern Oaks Dr Saint Charles MO 63303-4062 |
Practice Telephone | 6369260102 |
Practice Fax Number | 6369260102 |
Mailing Telephone | 6369476963 |
Mailing Fax Number | 6369476963 |
Enumeration Date | 2006-05-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
2002021413 | MO | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | BLUE CROSS BLUE SHIELD | 193739 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508072539 | James H Burdick | Counselor | 205 South Pratt Street, Carson City, NV 89701-4730 | 2007-05-15 |
1295791564 | James Steven Burdick | Internal Medicine | 6500 Sierra Dr Ste 170, Irving, TX 75039-2480 | 2006-04-25 |
1942249958 | James P Burdick | Anesthesiology | 3112 Sheridan Dr, Amherst, NY 14226-1904 | 2006-06-05 |
1396703880 | James F Burdick | Surgery | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2006-05-03 |
Street Address |
3910 S OLD HIGHWAY 94 SUITE 110 |
City | SAINT CHARLES |
State | MO |
Zip Code | 63304-2834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851757538 | Forget Me Not In Home Health Care LLC. | Point of Service | 3910 S Old Highway 94, Suite 109, Saint Charles, MO 63304-2834 | 2016-01-11 |
1013232818 | Louis Keith Puellman | Counselor | 3910 S Old Highway 94, Suite 110, Saint Charles, MO 63304-2834 | 2010-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699382127 | Susan Brockmeyer | Occupational Therapist | 600 Breeze View Ln, Weldon Springs, MO 63304 | 2020-09-29 |
1235743097 | Brett Allan Lancaster | Pharmacist | 3801 Old Highway 94, St. Peters, MO 63304 | 2020-08-31 |
1356834683 | Emily Elizabeth Blau | Chiropractor | 5055 State Highway N, 108, Cottleville, MO 63304 | 2018-06-12 |
1033606769 | Christina Marie Crain | Counselor | 501 Chele Dr, Saint Charles, MO 63304 | 2018-04-18 |
1063875532 | Amy L Ney-carder | Speech-Language Pathologist | 5199 State Highway N, St. Peters, MO 63304 | 2016-04-01 |
1609127745 | Lawlor Chiropractic LLC | Chiropractor | 6028 Weldon Spring Parkway, Weldon Spring, MO 63304 | 2012-09-28 |
1043588510 | Esther Lima | Pharmacist | 3801 S Harvester Rd, St Peters, MO 63304 | 2011-12-12 |
1922318245 | Sonya Paramore | Counselor | 1480 Woodstone Drive, Suite 211, Saint Charles, MO 63304 | 2010-10-20 |
1871624445 | Joylynn Anderson | Social Worker | 5931 Highway 94 South, Saint Charles, MO 63304 | 2007-03-08 |
1821155706 | Cynthia Lynn Sitarski | Occupational Therapist | 4545 Central School Road, St. Charles, MO 63304 | 2007-01-02 |
Find all providers in zip 63304 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033606769 | Christina Marie Crain | Counselor | 501 Chele Dr, Saint Charles, MO 63304 | 2018-04-18 |
1780922476 | Kristen James | Counselor | 120 1st Capitol Dr Ste 5, Saint Charles, MO 63301 | 2013-01-30 |
1982991634 | Nancy Jean Mesey | Counselor | 2536 S Old Highway 94 Ste 120, Saint Charles, MO 63303-5627 | 2011-07-01 |
1508162124 | Julie Burr | Counselor | 105 Beringer Dr, Saint Charles, MO 63304-1466 | 2011-01-28 |
1922252568 | Susan D Hanson | Counselor | 405 Illinois Ave Ste 2c&d, Saint Charles, IL 60174-2963 | 2008-11-10 |
1265635478 | Susan Decatur-davis | Counselor | 523 S 5th St, Saint Charles, MO 63301-2634 | 2007-06-06 |
1053434928 | Lucy Marilyn Douglas | Counselor | 2311 Warren Ave, Saint Charles, IA 50240-8502 | 2007-04-07 |
1962551069 | William R Cunningham Jr. | Counselor | 820 S Main St, Suite 307, Saint Charles, MO 63301-3306 | 2007-01-09 |
1245214154 | Allison G. Johnsen | Counselor | 2445 Dean St Unit A, Saint Charles, IL 60175-4828 | 2005-12-05 |
1033108758 | Janette Bizzell | Counselor | 4 Fairways Cir, Unit C, Saint Charles, MO 63303-3347 | 2005-10-14 |
Find all providers in SAINT CHARLES |
City | SAINT CHARLES |
Zip Code | 63304 |
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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.