Michelle Marie Burks, CADC LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC6211 Issued in ID

Practice address

1500 E Heritage Park St Ste 150
Meridian, ID 83646-5800

Phone

(082) 631-0843

Fax

(208) 906-0807

NPI assigned

Jan 12, 2012

Last updated

Sep 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Michelle Marie Burks Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Burks Counseling, PLLC

  dba All Within Healing

  • Preferred Provider Organization
  • Boise, ID
  • NPI 1043643844
  NPD (past) Authorized official

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1245500826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E HERITAGE PARK ST STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465800",
            "telephone_number": "082-631-0843",
            "fax_number": "208-906-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E HERITAGE PARK ST STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465800",
            "telephone_number": "082-631-0843",
            "fax_number": "208-906-0807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1674 W. Hill Rd.",
            "address_2": "Suite 17",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83702",
            "country_code": "US",
            "telephone_number": "208-841-2641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKS",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CADC LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC6211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245500826",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@pacificmind.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 E Heritage Park St Ste 150",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836465800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BURKS",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "LCPC, CADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Louis A Burke, PA-C
• Mary Burke
• Sharon Kay Burke
• Corbin Andrew Burkett, LCPC
• Ashley Burks
• Molly Burks
• Laura Joan Burlingame-Lee, PH.D.
• Alett R Burlison, BI, IS
• Melissa Schipper Burnett
• Jocelyn Burr

• Mental Health Counselor in Meridian, ID
• Providers in Meridian, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.