Active NPI
Heide Burch, PH.D.
- Mental Health Counselor
- Glens Falls, NY
National Provider Identifier
1487907002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701012253
- Practice address
- 333 Glen St Ste 200F
Glens Falls, NY 12801-3666 - Phone
- (518) 480-7066
- Fax
- (518) 636-1882
- NPI assigned
- Oct 19, 2012
- Last updated
- Nov 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC6491 | ME | |
| Mental Health Counselor | 101YM0800X | 006398 | NY | |
| Mental Health Counselor | 101YM0800X | 0701012253 | VA | Primary |
Addresses
Primary practice location
333 Glen St Ste 200F
Glens Falls, NY 12801-3666
Mailing address
6561 Hazel Hollow Rd
Dublin, VA 24084-5679
Phone (518) 480-7066
Other practice location 1
6561 Hazel Hollow Rd
Dublin, VA 24084-5679
Phone (518) 480-7066
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC6491 | ME | MD | Mental Health Counselor |
| 0701012253 | VA | MD | Mental Health Counselor |
| 006398 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stable Haven Counseling PLLC | Mental Health | Current | Accepting new patients |
| Ecs Psychological Services PC | Mental Health | Past | Accepting new patients |
| Ecs Wellness Psychology | Mental Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Dublin, VA
- NPI 1417722935
-
- Mental Health Counselor
- Saratoga Springs, NY
- NPI 1386285336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1487907002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6561 HAZEL HOLLOW RD",
"city": "DUBLIN",
"state": "VA",
"postal_code": "240845679",
"telephone_number": "518-480-7066",
"fax_number": "518-636-1882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 GLEN ST STE 200F",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128013666",
"telephone_number": "518-480-7066",
"fax_number": "518-636-1882"
}
],
"practiceLocations": [
{
"address_1": "6561 Hazel Hollow Rd",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "VA",
"postal_code": "240845679",
"country_code": "US",
"telephone_number": "518-480-7066",
"fax_number": "518-636-1882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURCH",
"first_name": "HEIDE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-19",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "CC6491",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "006398",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701012253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.