Individual provider Active NPI

Danae M. Burgner, LMFT

  • Marriage & Family Therapist
  • Oceanside, CA
National Provider Identifier
1053662072
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
106848 Issued in CA
Practice address
705 Pier View Way Ste a
Oceanside, CA 92054-2848
Phone
(442) 500-8200
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 106848 CA Primary

Addresses

Primary practice location

705 Pier View Way Ste a
Oceanside, CA 92054-2848

Mailing address

705 Pier View Way Ste a
Oceanside, CA 92054-2848
Phone (442) 500-8200

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
106848CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Psychotherapy and Wellness Center Inc. Marriage & Family Therapist CurrentSince Feb 16, 2020 Accepting new patients

Locations

705 Pier View Way
Ste A
Oceanside, CA 92054
Phone (442) 500-8200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1053662072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 PIER VIEW WAY STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542848",
            "telephone_number": "442-500-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 PIER VIEW WAY STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542848",
            "telephone_number": "442-500-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGNER",
        "first_name": "DANAE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.