COURTNEY BURGESS-MICHAK (NPI# 1578939336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578939336 |
| Entity Type | Individual |
| Full Name | COURTNEY BURGESS-MICHAK |
| Credential | NCC, LPC |
| Practice Address |
1846 Memorial Highway Suite 3 Shavertown PA 18708 |
| Mailing Address |
2157 Lakeside Dr Harveys Lake PA 18618 |
| Practice Telephone | 5705920266 |
| Practice Fax Number | 5702555509 |
| Mailing Telephone | 5705920266 |
| Mailing Fax Number | 5702555509 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC007070 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1846 MEMORIAL HIGHWAY SUITE 3 |
| City | SHAVERTOWN |
| State | PA |
| Zip Code | 18708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871076901 | Samantha Jo Lupinski-campbell | Massage Therapist | 52 S Memorial Highway, Shavertown, PA 18708 | 2018-09-14 |
| 1043620727 | Amy Cook | Recreation Therapist | 1207 Huntsville Road, Shavertown, PA 18708 | 2014-05-02 |
| 1437416849 | Richard G Coslett | Dentist | 121 S. Memorial Hwy, Shavertown, PA 18708 | 2012-04-23 |
| 1902197635 | Vera Lynn Supey | Pharmacist | 2810 Memorial Hwy, Shavertown, PA 18708 | 2011-04-28 |
| 1912200288 | Aphrodite J Togias | Family Medicine | 140 Blueberry Road, Shavertown, PA 18708 | 2010-12-08 |
| 1811075104 | Charles T Brand Dmd Richard G Coslett Dmd PC | Dentist | 121 S Memorial Hwy, Shavertown, PA 18708 | 2006-11-02 |
| 1366822504 | Devin Carey | Family Medicine | 176 N Main St, Shavertown, PA 18708 | 2015-06-03 |
| 1356608764 | Charles T Brand | Dentist | 121 S. Memorial Hwy, Shavertown, PA 18708 | 2012-04-23 |
| 1003857186 | Patrick Kilduff | Internal Medicine | 176 N Main St, Shavertown, PA 18708-1121 | 2006-06-09 |
| 1275176026 | Arianna Catherine Roberts | Nurse Practitioner | 176 N Main St, Shavertown, PA 18708-1121 | 2019-10-24 |
| Find all providers in zip 18708 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694742 | Gregory Johnston Shannon | Counselor | 117 Wellington Rd, Shavertown, PA 18708-1341 | 2020-03-19 |
| 1962950626 | Valor Counseling, LLC | Counselor | 1846 Memorial Hwy, Suite 3, Shavertown, PA 18708-1489 | 2016-09-12 |
| 1316403835 | Brighter Visions Counseling | Counselor | 1846 Memorial Hwy, Shavertown, PA 18708-1489 | 2019-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427806 | Emerald Grove Wellness LLC | Counselor | 214 Brickyard Rd, Mars, PA 16046-3006 | 2020-11-08 |
| 1912508771 | Nicole Boyer | Counselor | 5117 W Lake Rd, Erie, PA 16505-2925 | 2020-11-06 |
| 1811598949 | Amy Lynn Protho | Counselor | 3495 Butler St Ste 3, Pittsburgh, PA 15201-1375 | 2020-11-04 |
| 1447851662 | Shari Mcclaren Counseling | Counselor | 1360 Eisenhower Blvd Ste 404, Johnstown, PA 15904-3341 | 2020-11-04 |
| 1467053835 | Margaret A Connors | Counselor | 811 Williamsburg Blvd, Downingtown, PA 19335-4124 | 2020-11-03 |
| 1033719794 | Paul Sliva | Counselor | 1040 E Windhaven Rd # A, Pittsburgh, PA 15205-8700 | 2020-10-30 |
| 1689274375 | Susan Mary Featro | Counselor | Nickischer and Associates, 1738 Blakeslee Blvd. W., Lehighton, PA 18235 | 2020-10-30 |
| 1477153344 | Brianne Marie Wagner | Counselor | 720 Rowena Dr Ste 202, Ebensburg, PA 15931-2038 | 2020-10-29 |
| 1083214928 | Tatyana Sharron Hill | Counselor | 3700 Market St Ste 301, Philadelphia, PA 19104-3143 | 2020-10-29 |
| 1689274128 | Chelsea Anne Lyle | Counselor | Yaroch Counseling, 437 S Maple Ave, Greensburg, PA 15601 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | SHAVERTOWN |
| Zip Code | 18708 |
Please comment or provide details below to improve the information on COURTNEY BURGESS-MICHAK.
| 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.