Active NPI
Andrew Marshall Burck, PHD
- Mental Health Counselor
- Dunbar, WV
National Provider Identifier
1366956344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.0007422
- Practice address
- 1215A Stewart PLZ
Dunbar, WV 25064-3021 - Phone
- (304) 768-5506
- NPI assigned
- Nov 28, 2017
- Last updated
- Nov 28, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.0007422 | OH | Primary |
Addresses
Primary practice location
1215A Stewart PLZ
Dunbar, WV 25064-3021
Mailing address
1215A Stewart PLZ
Dunbar, WV 25064-3021
Phone (304) 768-5506
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.0007422 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511827200000",
"number": "1366956344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215A STEWART PLZ",
"city": "DUNBAR",
"state": "WV",
"postal_code": "250643021",
"telephone_number": "304-768-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215A STEWART PLZ",
"city": "DUNBAR",
"state": "WV",
"postal_code": "250643021",
"telephone_number": "304-768-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCK",
"first_name": "ANDREW",
"middle_name": "MARSHALL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-28",
"last_updated": "2017-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.0007422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunbar, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.