Samantha Kimberly Burkhardt, CRC, LPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

106 Shook Rd Ste 207
Hawley, PA 18428-7059

Phone

(570) 251-0338

NPI assigned

Jan 9, 2012

Sex

Female

Sole proprietor

Yes

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.

• Collura Wellness Center P.C.

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  • NPI 1598196966
  NPD
• Tusk Counseling

  • Adolescent and Children Mental Health Clinic/Center
  • Forest City, PA
  • NPI 1093319600
  NPD
• Tiffany Griffiths Psy D & Associates Inc

  • Clinical Psychologist
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  • NPI 1649507831
  NPD (past) PROFESSIONAL

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2023.

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1326318247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SHOOK RD STE 207",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184287059",
            "telephone_number": "570-251-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SHOOK RD STE 207",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184287059",
            "telephone_number": "570-251-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHARDT",
        "first_name": "SAMANTHA",
        "middle_name": "KIMBERLY",
        "credential": "CRC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC006195",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006195",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "006195",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "436 Main St",
            "city": "Forest City",
            "state": "PA",
            "country_code": "US",
            "postal_code": "184211420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Compass Healthcare Navigators

• All providers in Hawley, PA
• Addiction (Substance Use Disorder) Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.