Active NPI
Gary Burkle, MBA, MA, LPCC-S
- Professional Counselor
- Dublin, OH
National Provider Identifier
1003951815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0003430
- Practice address
- 7195 Coffman Rd
Dublin, OH 43017-1033 - Phone
- (614) 538-0353
- Fax
- (614) 586-1879
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0003430 | OH | Primary |
Addresses
Primary practice location
7195 Coffman Rd
Dublin, OH 43017-1033
Mailing address
1115 Bethel Rd
Columbus, OH 43220-2690
Phone (614) 538-0353
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
- Credentials
- Master of Arts, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0003430 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003951815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 BETHEL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202690",
"telephone_number": "614-538-0353",
"fax_number": "614-586-1879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7195 COFFMAN RD",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430171033",
"telephone_number": "614-538-0353",
"fax_number": "614-586-1879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKLE",
"first_name": "GARY",
"name_prefix": "Mr.",
"credential": "MBA, MA, LPCC-S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0003430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.