Active NPI
Melanie Gayle Burkholder, LPCC
- Professional Counselor
- Carlsbad, CA
National Provider Identifier
1225266141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1977
- Practice address
- 6600 Black Rail Rd
Carlsbad, CA 92011-2603 - Phone
- (760) 683-9084
- NPI assigned
- Jun 30, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1977 | CA | Primary |
Addresses
Primary practice location
6600 Black Rail Rd
Carlsbad, CA 92011-2603
Mailing address
6600 Black Rail Rd
Carlsbad, CA 92011-2603
Phone (760) 683-9084
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1977 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpenglow Counseling Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Carlsbad, CA
- NPI 1851779961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461715200000",
"number": "1225266141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 BLACK RAIL RD",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920112603",
"telephone_number": "760-683-9084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 BLACK RAIL RD",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920112603",
"telephone_number": "760-683-9084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHOLDER",
"first_name": "MELANIE",
"middle_name": "GAYLE",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2016-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "1977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.