Sophia Catherine Burke, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.011057 Issued in IL

Practice address

4081 N Broadway St
Chicago, IL 60613-2117

Phone

(773) 883-9100

Fax

(773) 883-0005

NPI assigned

Jun 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Kin Therapy Collective PLLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1720669534
  NPD Authorized official
• American Indian Health Service of Chicago Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1760572671
  NPD (past)

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1447630769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132117",
            "telephone_number": "773-883-9100",
            "fax_number": "773-883-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132117",
            "telephone_number": "773-883-9100",
            "fax_number": "773-883-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "SOPHIA",
        "middle_name": "CATHERINE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.010817",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseanne Burke, WHNP
• Sarah Burke, OTD, OTR/L
• Sean Burke, RN
• Sean Burke, PT, DPT
• Shannon Burke
• Timothy Carroll Burke
• Winston Franklin Burke, D.P.M.
• Ariel Burkes
• Jennifer Aileen Burkett, DNP, NNP-BC
• Tiffany Tieasha Burkett

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.