Individual provider Active NPI

Burch Meriwether-Archer

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1396307088
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0015492 Issued in CO
Practice address
6795 E Tennessee Ave Ste 409
Denver, CO 80224-1614
Phone
(720) 233-8944
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0015492 CO Primary

Addresses

Primary practice location

6795 E Tennessee Ave Ste 409
Denver, CO 80224-1614

Mailing address

3213 S Boston CT
Denver, CO 80231-6420
Phone (720) 233-8944

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL B@dragonflycounseling.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 8, 2024 through Jul 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0015492COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1396307088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 S BOSTON CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802316420",
            "telephone_number": "720-233-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 E TENNESSEE AVE STE 409",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241614",
            "telephone_number": "720-233-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIWETHER-ARCHER",
        "first_name": "BURCH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0015492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "B@dragonflycounseling.org",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "6795 E Tennessee Ave Ste 409",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802241614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.