David Burgess

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

515 McCurry St
Pleasant Hope, MO 65725-9231

Phone

(417) 267-7701

NPI assigned

May 26, 2023

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Good Samaritan Boys Ranch

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Brighton, MO
  • NPI 1679771430
  NPD (past)

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1144913120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5549 HIGHWAY K",
            "city": "BRIGHTON",
            "state": "MO",
            "postal_code": "656177256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MCCURRY ST",
            "city": "PLEASANT HOPE",
            "state": "MO",
            "postal_code": "657259231",
            "telephone_number": "417-267-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Lee Altic, P.T.A.
• Halbert Boyd, LMSW
• Brain Elevations Therapy, LLC
• Joanna R Brodersen, LPC
• Citizens Memorial Healthcare
• Betty Kay Ennis, PLPC
• Dana Gifford, OTR/L, CBIS, CSRS
• Colby Grove, PHARMD
• Jeanne E Hermann

• Professional Counselor in Pleasant Hope, MO
• Providers in Pleasant Hope, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.