Active NPI
Emily Burke, MA, LMFT
- Marriage & Family Therapist
- Charlotte, NC
National Provider Identifier
1346841491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2180
- Practice address
- 10420 Park Rd # 100-B
Charlotte, NC 28210-8501 - Phone
- (607) 222-4083
- NPI assigned
- Nov 5, 2020
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2180 | NC | Primary |
Addresses
Primary practice location
10420 Park Rd # 100-B
Charlotte, NC 28210-8501
Mailing address
10420 Park Rd Ste 100
Charlotte, NC 28210-8502
Phone (607) 222-4083
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2180 | NC | MD | Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Counseling Co PLLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
10420 Park Rd
Ste 100B
Charlotte, NC 28210
Phone (607) 222-4083
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Charlotte, NC
- NPI 1396485892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1346841491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10420 PARK RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108502",
"telephone_number": "607-222-4083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10420 PARK RD # 100-B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108501",
"telephone_number": "607-222-4083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "EMILY",
"credential": "MA, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "2180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.