Paul Burkhalter, MS, MA, LAPC, NCC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

APC006860 Issued in GA

Practice address

1301 Shiloh Rd NW Ste 1810
Kennesaw, GA 30144-7171

Phone

(877) 752-5262

NPI assigned

Mar 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

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.

• Charnat LLC

  • Community/Behavioral Health Agency
  • Marietta, GA
  • NPI 1154995629
  NPD (past)

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1366077026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2383 AKERS MILL RD SE APT B12",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392500",
            "telephone_number": "678-777-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 1810",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447171",
            "telephone_number": "877-752-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHALTER",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MS, MA, LAPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "APC006860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Winkles Buckner
• Theodis Buggs Jr., M.D.
• Stacey Bullock, SLP
• Deanna Leigh Bunch, PHARMD, RPH
• Frances Burch-Scott, D MIN,BCCC
• Abigail Burnette
• Cynthia L Burnham, CNP
• Kevin Burnham, PT, DPT
• Jaelyn Burns, MA, BCBA
• Jordan Victoria Burns, FNP

• Addiction (Substance Use Disorder) Counselor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.