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
- 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 and National Provider Directory roles.
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.