Individual provider Active NPI

Byalinah S-K Shakir-Burgess, LPC

  • Professional Counselor
  • Raleigh, NC
National Provider Identifier
1063760510
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8125 Issued in NC
Practice address
3723 Benson Dr
Raleigh, NC 27609-7324
Phone
(919) 929-9610
NPI assigned
Aug 15, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8125 NC
Professional Counselor 101YP2500X 8125 NC Primary

Addresses

Primary practice location

3723 Benson Dr
Raleigh, NC 27609-7324

Mailing address

1502 W NC Highway 54 Ste 103
Durham, NC 27707-5572
Phone (919) 354-0840

Other practice location 1

5848 Wynmore Rd
Raleigh, NC 27610-4091
Phone (919) 247-3314

Other practice location 2

5848 Wynmore Rd
Raleigh, NC 27610-4091
Phone (919) 247-3314

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
8125NCMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Limitless Counseling PLLC CurrentSince Sep 5, 2021 Accepting new patients
Mindpath Care Centers, North Carolina, PLLC Mental Health PastSince Sep 26, 2015 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063760510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W NC HIGHWAY 54 STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075572",
            "telephone_number": "919-354-0840",
            "fax_number": "919-748-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 BENSON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097324",
            "telephone_number": "919-929-9610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5848 Wynmore Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276104091",
            "country_code": "US",
            "telephone_number": "919-247-3314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5848 Wynmore Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276104091",
            "country_code": "US",
            "telephone_number": "919-247-3314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKIR-BURGESS",
        "first_name": "BYALINAH",
        "middle_name": "S-K",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.