Rebecca C. Burckhardt, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MO 002706 Issued in MO

Legal business name

REBECCA C. BURCKHARDT, LPC

Practice address

255 Spencer Rd
Suite 201
Saint Peters, MO 63376-2494

Phone

(636) 795-7815

NPI assigned

May 19, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Catherine Burckhardt, LPC

Title

Proprietor

Phone

(636) 795-7815

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1447485453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SPENCER RD",
            "address_2": "SUITE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762494",
            "telephone_number": "636-795-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SPENCER RD",
            "address_2": "SUITE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762494",
            "telephone_number": "636-795-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA C. BURCKHARDT, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "BURCKHARDT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "636-795-7815",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "MO 002706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.