Individual provider Active NPI

Melissa Schipper Burnett

  • Marriage & Family Therapist
  • Meridian, ID
National Provider Identifier
1376061580
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
135 E Calderwood Dr
Meridian, ID 83642-7636
Phone
(208) 867-9193
NPI assigned
Sep 7, 2017
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

135 E Calderwood Dr
Meridian, ID 83642-7636

Mailing address

PO Box 191353
Boise, ID 83719-1353
Phone (208) 867-9193

Other practice location 1

572 Dunholme Way
Sunnyvale, CA 94087-3300
Phone (524) 490-0408

Other practice location 2

738 Shawnee Ln
San Jose, CA 95123-4029
Phone (408) 439-2144

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

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1376061580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191353",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837191353",
            "telephone_number": "208-867-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E CALDERWOOD DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427636",
            "telephone_number": "208-867-9193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "572 Dunholme Way",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940873300",
            "country_code": "US",
            "telephone_number": "524-490-0408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "738 Shawnee Ln",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951234029",
            "country_code": "US",
            "telephone_number": "408-439-2144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "MELISSA",
        "middle_name": "SCHIPPER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.