Active NPI
Rebecca Catherine Burckhardt, LPC
- Mental Health Counselor
- Saint Peters, MO
National Provider Identifier
1215057112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MO002706
- Practice address
- 1600 Heritage LNDG
Suite 100
Saint Peters, MO 63303-8489 - Phone
- (636) 785-7815
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MO002706 | MO | Primary |
Addresses
Primary practice location
1600 Heritage LNDG
Suite 100
Saint Peters, MO 63303-8489
Mailing address
1600 Heritage LNDG
Suite 100
Saint Peters, MO 63303-8489
Phone (636) 785-7815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MO002706 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207267200000",
"number": "1215057112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 HERITAGE LNDG",
"address_2": "SUITE 100",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633038489",
"telephone_number": "636-785-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HERITAGE LNDG",
"address_2": "SUITE 100",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633038489",
"telephone_number": "636-785-7815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCKHARDT",
"first_name": "REBECCA",
"middle_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2008-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "MO002706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.