Individual provider Active NPI

Samantha Burggraf, MS, LCAS-A

  • Addiction (Substance Use Disorder) Counselor
  • Raleigh, NC
National Provider Identifier
1316326879
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS-21754 Issued in NC
Practice address
2101 Garner Rd
Suite 113
Raleigh, NC 27610-4687
Phone
(919) 832-4453
Fax
(919) 829-1357
NPI assigned
May 29, 2015
Last updated
May 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-21754 NC Primary

Addresses

Primary practice location

2101 Garner Rd
Suite 113
Raleigh, NC 27610-4687

Mailing address

2101 Garner Rd
Suite 113
Raleigh, NC 27610-4687
Phone (919) 832-4453

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
LCAS-21754NCMDAddiction (Substance Use Disorder) Counselor

Interoperability endpoints

  • Direct secure messaging: samantha.burggraf@direct.morseclinics.nchie.net

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1316326879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 GARNER RD",
            "address_2": "SUITE 113",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104687",
            "telephone_number": "919-832-4453",
            "fax_number": "919-829-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 GARNER RD",
            "address_2": "SUITE 113",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104687",
            "telephone_number": "919-832-4453",
            "fax_number": "919-829-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGGRAF",
        "first_name": "SAMANTHA",
        "credential": "MS, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-21754",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 29, 2015; 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.