Parke Gillette Burgess Jr., LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60316533 Issued in WA

Practice address

3503 N Cheyenne St
Tacoma, WA 98407-4822

Phone

(253) 304-1411

NPI assigned

Sep 21, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Burgess & Gugger, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tacoma, WA
  • NPI 1144986886
  NPD Authorized official

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1356624753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 N CHEYENNE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984074822",
            "telephone_number": "253-304-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 N CHEYENNE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984074822",
            "telephone_number": "253-304-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "PARKE",
        "middle_name": "GILLETTE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60316533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1144986886",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellan Matthew Burdine
• Bridgette Burdyshaw
• Kristel Adriana Burgeis, PA-C
• John Burger, CBT
• Burgess & Gugger, PLLC
• John Burghart, RNFA
• Jason Daniel Burgins, PA
• Jocelyn A Burgos-Dago-Oc, M.D.
• Marisa Ivette Burgos-Martinez, FNP-C
• Allison Burhoe

• Mental Health Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.