Active NPI
Shawna Burkhart
- Professional Counselor
- Chicago, IL
National Provider Identifier
1467758961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180007525
- Practice address
- 1350 N Wells St
F302
Chicago, IL 60610-1936 - Phone
- (630) 336-7090
- NPI assigned
- Jan 31, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180007525 | IL | Primary |
Addresses
Primary practice location
1350 N Wells St
F302
Chicago, IL 60610-1936
Mailing address
3517 E Rockledge Rd
Phoenix, AZ 85044-7025
Phone (630) 336-7090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180007525 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Honest Edge | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1710425053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1467758961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3517 E ROCKLEDGE RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850447025",
"telephone_number": "630-336-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 N WELLS ST",
"address_2": "F302",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606101936",
"telephone_number": "630-336-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHART",
"first_name": "SHAWNA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-31",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180007525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.