Evelyn Burgos, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007835 Issued in GA

Practice address

270 E Main St
Suite K
Canton, GA 30114-2756

Phone

(561) 632-9385

NPI assigned

Jun 21, 2011

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1366738171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 MILL CREEK DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301151609",
            "telephone_number": "561-632-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E MAIN ST",
            "address_2": "SUITE K",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142756",
            "telephone_number": "561-632-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "EVELYN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvatore Adolfo Bruni, MD
• Sara Jane Bruton, NP
• Stephanie Diane Bruton, NP
• Sheri Sullins Buckley, DNP, ANP-BC, FNP-C
• Casandra Buenger, N.P.
• Lillie Burnett, APRN, BC
• Erica D Burns, PHARMD
• Caroline Rebecca Burrows, PAC
• Cheryl Neely Bursmith
• Ashley Burton

• Professional Counselor in Canton, GA
• Providers in Canton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.