Naomi Alixandra Nichelle Burke, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

257296 Issued in KY

Practice address

210 N Broadway St Ste 1
Berea, KY 40403-2212

Phone

(859) 267-7141

NPI assigned

Sep 30, 2021

Last updated

Aug 28, 2023By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• BHG Xxiv, LLC

  dba BHG Paintsville Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Paintsville, KY
  • NPI 1568808640
  Medicare reassignment NPD
• BHG XXV, LLC

  dba BHG Pikeville Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pikeville, KY
  • NPI 1710323894
  Medicare reassignment NPD
• BHG Xxvi, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hazard, KY
  • NPI 1417393414
  Medicare reassignment NPD
• BHG Xxxiii, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Paducah, KY
  • NPI 1982027199
  Medicare reassignment NPD
• BHG Xxxiv, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Corbin, KY
  • NPI 1578986345
  Medicare reassignment NPD
• BHG XXXV, LLC

  dba BHG Lexington Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lexington, KY
  • NPI 1386067254
  Medicare reassignment NPD
• Therapy With Alix

  • Clinical Social Worker
  • Berea, KY
  • NPI 1598540601
  NPD Authorized official
• BHG XXXV, LLC

  dba BHG Berea Treatment Center

  • Methadone Clinic
  • Berea, KY
  • NPI 1558895631
  NPD
• Center for Behavioral Health Kentucky LLC

  • Methadone Clinic
  • Louisville, KY
  • NPI 1871027854
  NPD (past)

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1265104012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LORRAINE CT",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031318",
            "telephone_number": "859-267-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N BROADWAY ST STE 1",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404032212",
            "telephone_number": "859-267-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "NAOMI",
        "middle_name": "ALIXANDRA NICHELLE",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254909",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "279096",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100782040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luann Bryant
• Tina Bryant, APRN
• William I Buck, DPT
• Haley Buerkley
• Brianna Michele Burdette, PHARMD
• Kristina Burton, O. D.
• Busy Bee Occupational Therapy
• Kristinalin Caldwell, ARNP
• Janie Marie Calhoun, LICDC
• Samantha Ann Capistrant, PMHNP-BC

• Clinical Social Worker in Berea, KY
• Providers in Berea, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.