John E Burgess, JD, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

60933890 Issued in WA

Practice address

22525 SE 64TH PL Ste 2038
Issaquah, WA 98027-5383

Phone

(425) 677-7711

NPI assigned

Feb 13, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor, Master of Science

State licenses

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1124651633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22525 SE 64TH PL STE 2038",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275383",
            "telephone_number": "425-677-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22525 SE 64TH PL STE 2038",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275383",
            "telephone_number": "425-677-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "JD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60933890",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "60933918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john@thelegacycenternw.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "22525 SE 64th Pl Ste 2038",
            "city": "Issaquah",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980275383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grania Buckley, LBA
• Laurie Buehler, L.M.P.
• Hung Bui
• Eli W Bunzel, MD
• Brice Burgess, MSW
• Richard O Burkholder Jr., DDS
• Steven Alexander Burley
• David W Burns, D.C., N.D.
• Donna Lee Burns, OT
• Jerome L Bushnell, MD

• Mental Health Counselor in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.