Active NPI
Bailey Lynn Burk, LPC
- Professional Counselor
- Bowling Green, OH
National Provider Identifier
1083196679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.1901836
- Practice address
- 1045 Klotz Rd
Bowling Green, OH 43402-4820 - Phone
- (419) 352-7588
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.1801073-TRNE | OH | |
| Professional Counselor | 101YP2500X | C.1901836 | OH | Primary |
Addresses
Primary practice location
1045 Klotz Rd
Bowling Green, OH 43402-4820
Mailing address
439 Pine Valley Dr
Bowling Green, OH 43402-5206
Other practice location 1
1941 Carlin St
Findlay, OH 45840-1460
Phone (419) 422-8616
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 |
|---|---|---|---|
| C.1801073-TRNE | OH | MD | Counselor |
| C.1901836 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Person to Person Resources, Inc. | Professional | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1083196679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 PINE VALLEY DR",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434025206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 KLOTZ RD",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434024820",
"telephone_number": "419-352-7588"
}
],
"practiceLocations": [
{
"address_1": "1941 Carlin St",
"address_purpose": "LOCATION",
"city": "Findlay",
"state": "OH",
"postal_code": "458401460",
"country_code": "US",
"telephone_number": "419-422-8616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURK",
"first_name": "BAILEY",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.1801073-TRNE",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1901836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.