Active NPI
Katherine Clary Burdine, MS, CRC, LPCA
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1306348057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A13527
- Practice address
- 3000 Highwoods Blvd Ste 310
Raleigh, NC 27604 - Phone
- (919) 714-7500
- NPI assigned
- Mar 7, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A13527 | NC | Primary |
Addresses
Primary practice location
3000 Highwoods Blvd Ste 310
Raleigh, NC 27604
Mailing address
3000 Highwoods Blvd Ste 310
Raleigh, NC 27604-1029
Phone (919) 714-7500
Other practice location 1
1740 S Horner Blvd
Sanford, NC 27330-5717
Phone (919) 774-3125
Other practice location 2
3000 Highwoods Blvd Ste 310
Raleigh, NC 27604
Phone (919) 714-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM0800X | Medicaid | NC |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A13527 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Services, LLC | Past | Accepting new patients | |
| Hope Services, LLC | Past | Accepting new patients |
Organizations & group practices 2
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
- Raleigh, NC
- NPI 1083938385
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1134420169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1306348057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 HIGHWOODS BLVD STE 310",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276041029",
"telephone_number": "919-714-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 HIGHWOODS BLVD STE 310",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27604",
"telephone_number": "919-714-7500"
}
],
"practiceLocations": [
{
"address_1": "1740 S Horner Blvd",
"address_purpose": "LOCATION",
"city": "Sanford",
"state": "NC",
"postal_code": "273305717",
"country_code": "US",
"telephone_number": "919-774-3125",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 Highwoods Blvd Ste 310",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "27604",
"country_code": "US",
"telephone_number": "919-714-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURDINE",
"first_name": "KATHERINE",
"middle_name": "CLARY",
"credential": "MS, CRC, LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-07",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A13527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101YM0800X",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.