Active NPI
Celia A Burke, PH.D.
- Counseling Psychologist
- Oklahoma City, OK
National Provider Identifier
1366491979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 852
- Practice address
- 3037 NW 63Rd St
#105
Oklahoma City, OK 73116-3637 - Phone
- (405) 843-2303
- Fax
- (405) 843-4322
- NPI assigned
- May 9, 2006
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 852 | OK | Primary |
Addresses
Primary practice location
3037 NW 63Rd St
#105
Oklahoma City, OK 73116-3637
Mailing address
3037 NW 63Rd St
#105
Oklahoma City, OK 73116-3637
Phone (405) 843-2303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73-1548177-001 | Other | OK | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2019 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 852 | OK | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1366491979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3037 NW 63RD ST",
"address_2": "#105",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731163637",
"telephone_number": "405-843-2303",
"fax_number": "405-843-4322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3037 NW 63RD ST",
"address_2": "#105",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731163637",
"telephone_number": "405-843-2303",
"fax_number": "405-843-4322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "CELIA",
"middle_name": "A",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OK",
"license": "852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "73-1548177-001",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.