Mia Chikita Burgan, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

89685 Issued in TX

Practice address

1835 E Southlake Blvd Ste 100
Southlake, TX 76092-7068

Phone

(817) 769-7687

NPI assigned

Jul 8, 2022

Last updated

Aug 22, 2024By the provider in NPPES

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evermore Mental Health

  • Professional Counselor
  • Haslet, TX
  • NPI 1164396743
  NPD Authorized official
• CCNT Inc.

  dba Counseling Center of North Texas

  • Clinical Social Worker
  • Wylie, TX
  • NPI 1912447681

  Counselor

  NPD (past)

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1386377067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 E SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927068",
            "telephone_number": "817-769-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 E SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927068",
            "telephone_number": "817-769-7687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2670 Firewheel Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750287596",
            "country_code": "US",
            "telephone_number": "817-663-7633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGAN",
        "first_name": "MIA",
        "middle_name": "CHIKITA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda C Buck, M.S.CCC-SLP
• Kathy Kim Bui
• Built 4 It Athletics (Built 4 It Southlake)
• Bull Care, PLLC
• Joanna Bullock, MSPT
• Tara L Burkett
• Charity Joy Burkhardt, PA
• Melanie Ann Burman, LCSW
• Mariah Fiorillo Burnell, D.O.
• Catherine Word Burton, M.A., LPC, LMFT

• Professional Counselor in Southlake, TX
• Providers in Southlake, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.