Active NPI
Lori Burdick, LPC, CACIII
- Professional Counselor
- Fort Collins, CO
National Provider Identifier
1295924462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5757
- Practice address
- 149 W Oak St
Fort Collins, CO 80524-2875 - Phone
- (970) 313-8480
- NPI assigned
- Oct 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5757 | CO | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7277 | CO |
Addresses
Primary practice location
149 W Oak St
Fort Collins, CO 80524-2875
Mailing address
149 W Oak St
Fort Collins, CO 80524-2875
Phone (970) 313-8480
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 |
|---|---|---|---|
| 7277 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 5757 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343520000000",
"number": "1295924462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 W OAK ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242875",
"telephone_number": "970-313-8480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 W OAK ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242875",
"telephone_number": "970-313-8480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDICK",
"first_name": "LORI",
"name_prefix": "Ms.",
"credential": "LPC, CACIII",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2012-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "5757",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "7277",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.