Danny Burnside Sr., M.DIV., M.A. PH. D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

272 Heather Glen Dr
Boiling Springs, SC 29316-5939

Phone

(864) 266-2291

NPI assigned

Sep 22, 2010

Last updated

Dec 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Rehoboth Community Enrichment Service

  • Community/Behavioral Health Agency
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  • NPI 1326324120
  Authorized official Same address or phone

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1093023160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HEATHER GLEN DR",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165939",
            "telephone_number": "864-266-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 HEATHER GLEN DR",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165939",
            "telephone_number": "864-266-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNSIDE",
        "first_name": "DANNY",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.DIV., M.A. PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Boiling Springs, SC
• Providers in Boiling Springs, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.