Individual provider Active NPI

Brianne Burgoon

  • Art Therapist
  • Sterling Heights, MI
National Provider Identifier
1619764982
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Practice address
42230 Utica Rd
Sterling Heights, MI 48314-3644
Phone
(248) 939-6211
NPI assigned
Apr 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 221700000X Primary

Addresses

Primary practice location

42230 Utica Rd
Sterling Heights, MI 48314-3644

Mailing address

42230 Utica Rd
Sterling Heights, MI 48314-3644
Phone (248) 939-6211

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

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1619764982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42230 UTICA RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143644",
            "telephone_number": "248-939-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42230 UTICA RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143644",
            "telephone_number": "248-939-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOON",
        "first_name": "BRIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.