Individual provider Active NPI

Katherine Clary Burdine, MS, CRC, LPCA

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1306348057
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A13527 Issued in NC
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

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101YM0800XMedicaidNC

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

LicenseStateTypeSpecialty
A13527NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Services, LLC PastSince Sep 13, 2015 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.

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.

Verify at the official NPI Registry.