Individual provider Active NPI

Linda Ellen Burke, PH.D.

  • Mental Health Counselor
  • Danvers, MA
National Provider Identifier
1063436137
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PY8193 Issued in MA
Practice address
130 Centre St
Schoolhouse #202B
Danvers, MA 01923-1400
Phone
(617) 869-5502
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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 PY8193 MA Primary

Addresses

Primary practice location

130 Centre St
Schoolhouse #202B
Danvers, MA 01923-1400

Mailing address

130 Centre St
Schoolhouse #202B
Danvers, MA 01923-1400
Phone (617) 869-5502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050609000585 MA Practitioner - Clinical Psychologist 9830132935 Practice locations: Gloucester, MA
I20171229001611 NH Practitioner - Clinical Psychologist 9830132935 Practice locations: Durham, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 Madbury Rd
Suite 1
Durham, NH 03824-2023
Phone (617) 869-5502

956 Washington St
Gloucester, MA 01930-1255
Phone (617) 869-5502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY8193MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1063436137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CENTRE ST",
            "address_2": "SCHOOLHOUSE #202B",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231400",
            "telephone_number": "617-869-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTRE ST",
            "address_2": "SCHOOLHOUSE #202B",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231400",
            "telephone_number": "617-869-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "LINDA",
        "middle_name": "ELLEN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "PY8193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.