Individual provider Active NPI

Steven Jeffrey Burdette, LPCA

  • Mental Health Counselor
  • Danville, KY
National Provider Identifier
1659832483
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
242651 Issued in KY
Practice address
100 Berwick Dr
Danville, KY 40422-2722
Phone
(859) 358-0501
NPI assigned
Mar 26, 2019
Last updated
Mar 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 242651 KY Primary

Addresses

Primary practice location

100 Berwick Dr
Danville, KY 40422-2722

Mailing address

100 Berwick Dr
Danville, KY 40422-2722
Phone (859) 358-0501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240716002104 KY Practitioner - Mental Health Counselor 4981149887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
242651KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Isaiah House, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Isaiah House, Inc Past Accepting new patients

Locations

100 Broadway
Ste 101
Chaplin, KY 40012

2042 Main St
Willisburg, KY 40078

2084 Main St
Willisburg, KY 40078
Phone 8593759200 ext. 232

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1659832483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BERWICK DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222722",
            "telephone_number": "859-358-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BERWICK DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222722",
            "telephone_number": "859-358-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDETTE",
        "first_name": "STEVEN",
        "middle_name": "JEFFREY",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "242651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.