Thomas Burkig, PH.D., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

16920 Issued in TX

Practice address

480 Highway 7
Eddy, TX 76524-2448

Phone

(254) 859-5990

Fax

(254) 859-5188

NPI assigned

Sep 11, 2008

Last updated

Sep 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avalon Center

  • Counselor
  • Eddy, TX
  • NPI 1932348018
  NPD (past)
• Avalon Center Incorporated

  • Psychiatric Residential Treatment Facility
  • Eddy, TX
  • NPI 1831405323
  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1508015801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 HIGHWAY 7",
            "city": "EDDY",
            "state": "TX",
            "postal_code": "765242448",
            "telephone_number": "254-859-5990",
            "fax_number": "254-859-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 HIGHWAY 7",
            "city": "EDDY",
            "state": "TX",
            "postal_code": "765242448",
            "telephone_number": "254-859-5990",
            "fax_number": "254-859-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKIG",
        "first_name": "THOMAS",
        "credential": "PH.D., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172232401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avalon Center
• Avalon Center Incorporated
• Bruceville-Eddy Independent School District
• Linda Bruggman, RD
• Camerin Dyson, APRN, FNP-BC
• Josephine Lopez Flores
• Rebecca D Galyen, LVN
• Jovita Gutierrez, LCSW
• June Graeter Hargrove, LPTA

• Professional Counselor in Eddy, TX
• Providers in Eddy, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.