Mary F Burchill, M.ED, LPCC, LAC
Individual provider Active NPI Professional Counselor · Valley City, ND
NPI 1184021776 · NPPES record last updated Sep 25, 2020
Key facts
- NPI
- 1184021776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 724-8-15-12A (ND)
- Practice address
- 333 2ND St NW
Valley City, ND 58072-2971 - Phone
- (701) 840-1924
- NPI assigned
- Nov 25, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240229000514 | ND | Practitioner - Mental Health Counselor | 1456796499 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspire Counseling PLLC | Professional | Current |
Accepting new patients |
Locations
333 2nd St NW
Valley City, ND 58072
Phone (701) 840-1924
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1681 | ND | |
| Mental Health Counselor | 101YM0800X | 724-8-15-12A | ND | |
| Professional Counselor | 101YP2500X | 724-8-15-12A | ND | Yes |
Addresses
Primary practice location
333 2ND St NW
Valley City, ND 58072-2971
Mailing address
333 2ND St NW
Valley City, ND 58072-2971
Phone (701) 840-1924
Other providers in Valley City, ND
- Jeffrey Duane Brown
- James B Buhr
- Sharon E Buhr
- Brian Edwin Bulik
- Matthew R Bulik
- Dena Marie Burk
- Patrick S Callahan
- Tiffiney Caperton
- Kelsey Carlson
- Kelsie Carter
All providers in Valley City, ND · Professional Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.