Karla J Burgess, LMHP, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2991 Issued in NE

Practice address

721 W 6TH Ave
Red Cloud, NE 68970-2278

Phone

(402) 746-5614

Fax

(402) 746-5684

NPI assigned

Mar 6, 2007

Last updated

Jul 8, 2008By the provider in NPPES

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1649300146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465",
            "city": "RED CLOUD",
            "state": "NE",
            "postal_code": "689700465",
            "telephone_number": "402-746-5614",
            "fax_number": "402-746-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W 6TH AVE",
            "city": "RED CLOUD",
            "state": "NE",
            "postal_code": "689702278",
            "telephone_number": "402-746-5614",
            "fax_number": "402-746-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "KARLA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LMHP, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR",
            "identifier": "1550",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH PRACTITIONE",
            "identifier": "2991",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "85562",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Christine Beam, APRN
• Burgess Counseling & Mediation Services
• Estela L Chan, M.D.
• Cherry Corner Estates
• County Medical Services Inc. (Main Street Medical Clinic)
• County of Webster County Clerk (Webster County Ambulance Service)
• Amberlynn Ekstein

• Mental Health Counselor in Red Cloud, NE
• Providers in Red Cloud, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.