Luke Joseph Burgdorf, M.A.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301015648 Issued in MI

Practice address

122 W South St
Kalamazoo, MI 49007-4711

Phone

(269) 349-4219

NPI assigned

Aug 26, 2013

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

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Luke Burgdorf Counseling LLC

  • Counseling Psychologist
  • Kalamazoo, MI
  • NPI 1992418024
  NPD Authorized official
• Kalamazoo Psychology

  • Psychologist
  • Kalamazoo, MI
  • NPI 1306145420
  NPD (past)
• Kalamazoo Psychology, LLC

  • Counseling Psychologist
  • Kalamazoo, MI
  • NPI 1083879852
  NPD (past)

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1689008708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W SOUTH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074711",
            "telephone_number": "269-349-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W SOUTH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074711",
            "telephone_number": "269-349-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGDORF",
        "first_name": "LUKE",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-26",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301015648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briahnna Bunker
• Hank Bunting
• Amy Lynn Bupp, RN
• Patricia Burch, MA LLP
• Abigail Marie Burdgick, LLMSW
• Megan Burghardt
• Earl L Burhans, D.O.
• David William Burke, MD
• Burkhart Counseling Services LLC
• Kerry Burkhart

• Counseling Psychologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.