Individual provider Active NPI

Pamela Bucklin Burger

  • Mental Health Counselor
  • Pittsfield, MA
National Provider Identifier
1003111287
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2021028 Issued in MA
Practice address
53 Eagle St
First Floor
Pittsfield, MA 01201-4776
Phone
(413) 236-5656
Fax
(413) 499-6572
NPI assigned
Jan 19, 2011
Last updated
Jan 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2021028 MA Primary

Addresses

Primary practice location

53 Eagle St
First Floor
Pittsfield, MA 01201-4776

Mailing address

53 Eagle St
First Floor
Pittsfield, MA 01201-4776
Phone (413) 236-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2021028MAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1003111287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 EAGLE ST",
            "address_2": "FIRST FLOOR",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014776",
            "telephone_number": "413-236-5656",
            "fax_number": "413-499-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 EAGLE ST",
            "address_2": "FIRST FLOOR",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014776",
            "telephone_number": "413-236-5656",
            "fax_number": "413-499-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGER",
        "first_name": "PAMELA",
        "middle_name": "BUCKLIN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "2021028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.