Organization Active NPI

Diana F. Burke, LPC, LLC

  • Professional Counselor
  • Athens, GA
National Provider Identifier
1245768431
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC002389 Issued in GA
Legal business name
DIANA F. BURKE, LPC, LLC
Practice address
337 S Milledge Ave Ste 216
Athens, GA 30605-5664
Phone
(678) 787-3118
NPI assigned
Jun 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Diana Burke, LPCNPI 1730400748
Title
Owner
Phone
(706) 410-5786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC002389 GA Primary

Addresses

Primary practice location

337 S Milledge Ave Ste 216
Athens, GA 30605-5664

Mailing address

337 S Milledge Ave Ste 216
Athens, GA 30605-5664
Phone (706) 410-5786

Other identifiers 1

IdentifierTypeStateIssuer
896450MedicaidGA

National Provider Directory

National Provider Directory

Locations

337 S Milledge Ave
Ste 216
Athens, GA 30605
Phone (678) 787-3118

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245768431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 S MILLEDGE AVE STE 216",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306055664",
            "telephone_number": "706-410-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 S MILLEDGE AVE STE 216",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306055664",
            "telephone_number": "678-787-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA F. BURKE, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-410-5786",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC002389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "896450",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.