Active NPI
Chantil Alee Burgess
- Marriage & Family Therapist
- Henderson, NV
National Provider Identifier
1073816062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 5238
- Practice address
- 709 E Horizon Dr Ste 140
Henderson, NV 89015-8440 - Phone
- (702) 763-5379
- Fax
- (702) 446-9253
- NPI assigned
- Dec 13, 2010
- Last updated
- May 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5238 | NV | |
| Marriage & Family Therapist | 106H00000X | 5238 | NV | Primary |
Addresses
Primary practice location
709 E Horizon Dr Ste 140
Henderson, NV 89015-8440
Mailing address
709 E Horizon Dr Ste 140
Henderson, NV 89015-8440
Phone (702) 763-5379
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5238 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Life Coaching LLC | Past | Accepting new patients |
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, 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": "1292198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1073816062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 E HORIZON DR STE 140",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890158440",
"telephone_number": "702-763-5379",
"fax_number": "702-466-9253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 E HORIZON DR STE 140",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890158440",
"telephone_number": "702-763-5379",
"fax_number": "702-446-9253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "CHANTIL",
"middle_name": "ALEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-13",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "5238",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "5238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.