Andrew Lee Burchett, CERTIFIED RECOVERY M

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

19-CRM-196 Issued in OR

Practice address

23 NW Greenwood Ave
Bend, OR 97703

Phone

(541) 383-4293

NPI assigned

Apr 12, 2021

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

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.

• All Care Treatment Center

  • Community/Behavioral Health Agency
  • Bend, OR
  • NPI 1679427553
  NPD (past)
• Pfeifer & Associates

  • Community/Behavioral Health Agency
  • Bend, OR
  • NPI 1396877908
  NPD (past)

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1609456847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 NW GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "541-383-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NW GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "541-383-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHETT",
        "first_name": "ANDREW",
        "middle_name": "LEE",
        "credential": "CERTIFIED RECOVERY M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "19-CRM-196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Bunger
• Michelle Marie Bunkers
• Justin Bunkowske
• Bree Burch, LPC
• Robert Frank Burch, PH.D
• Audra Jo Burdulis, PA-C
• Lana Burge
• Mark Burge, MD
• Linda Lee Burgel, WHCNP
• Jack Edward Burgeson, MD

• Peer Specialist in Bend, OR
• Providers in Bend, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.