Individual provider Active NPI

Courteney J Burrill, MA, LMHC

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1447543491
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60155384 Issued in WA
Practice address
7408 N Birch CT
Spokane, WA 99208-9633
Phone
(509) 228-8901
Fax
(509) 228-8162
NPI assigned
May 24, 2011
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60985381 WA
Mental Health Counselor 101YM0800X LH60155384 WA Primary

Addresses

Primary practice location

7408 N Birch CT
Spokane, WA 99208-9633

Mailing address

7408 N Birch CT
Spokane, WA 99208-9633
Phone (509) 228-8901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 7, 2025 through Jan 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CP60985381WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Act Services, PLLC Addiction (Substance Use Disorder) CurrentSince Nov 10, 2024 Accepting new patients

Locations

1818 W Francis Ave
Spokane, WA 99205
Phone (509) 266-3109

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1447543491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7408 N BIRCH CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089633",
            "telephone_number": "509-228-8901",
            "fax_number": "509-228-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7408 N BIRCH CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089633",
            "telephone_number": "509-228-8901",
            "fax_number": "509-228-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRILL",
        "first_name": "COURTENEY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60985381",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60155384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.