Sally Burke, LCMHC, MLADC,SEP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

960 Issued in NH

Practice address

20 West Park Street
Suite #308
Lebanon, NH 03766-0000

Phone

(603) 667-8567

NPI assigned

Nov 11, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Sandy Burke Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1144557158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W PARK ST",
            "address_2": "SUITE #308",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037660000",
            "telephone_number": "603-667-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WEST PARK STREET",
            "address_2": "SUITE #308",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037660000",
            "telephone_number": "603-667-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "SALLY",
        "name_prefix": "Ms.",
        "credential": "LCMHC, MLADC,SEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0548",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDY",
            "last_name": "BURKE",
            "prefix": "MS.",
            "credential": "LCMHC,MLADC,SEP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Corey Burchman, MD
• Thomas Ray Burdick
• Ethan Burg
• Harrison James Burgess, DO, PHARMD
• Joy E Burke, CRNP
• Christopher Mark Burns, M.D.
• Robert E Burr, MD
• Peter Sanborn Burrage, MD, PHD
• Daniel Burton
• Eric Butler, CRNA

• Mental Health Counselor in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.