Danel Burchby

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9663-123 Issued in WI

Practice address

40 Jewelers Park Dr Ste 200
Neenah, WI 54956-3893

Phone

(920) 720-6000

Fax

(920) 486-6013

NPI assigned

Feb 4, 2008

Last updated

May 14, 2021By the provider in NPPES

Sex

Female

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

Opted out of Medicare

Yes, effective Sep 21, 2023 through Sep 21, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Esprit Counseling & Consulting

  • Community/Behavioral Health Agency
  • Neenah, WI
  • NPI 1760720437
  NPD (past)

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1104004951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 JEWELERS PARK DR",
            "address_2": "STE 200",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563893",
            "telephone_number": "920-720-6000",
            "fax_number": "920-486-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 JEWELERS PARK DR STE 200",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563893",
            "telephone_number": "920-720-6000",
            "fax_number": "920-486-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHBY",
        "first_name": "DANEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9663-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajeev Buddi, MD
• Grace Buechler, SLP
• Rebecca Buell
• Stephen Mark Bullard, M.D.
• Burchby Counseling Inc (Danel Burchby)
• Carrie J. Burger, PT
• Jeffrey Scott Burkett, M.D.
• Lindsey Burmeister, PHARMD
• James R Burns, MD
• Hannah L Burton

• Clinical Social Worker in Neenah, WI
• Providers in Neenah, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.