Michelle Renee Burger, LMHP
Individual provider Active NPI Professional Counselor · Freemont, NE
NPI 1689699332 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689699332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LMHP2117 (NE)
- Practice address
- 230 East 22ND Street
Suite 3
Freemont, NE 68025 - Phone
- (402) 721-8805
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMHP2117 | NE | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LMHP2117 | NE | Yes |
Addresses
Primary practice location
230 East 22ND Street
Suite 3
Freemont, NE 68025
Mailing address
230 East 22ND Street
Suite 3
Freemont, NE 68025
Phone (402) 721-8805
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47078839726 | Medicaid | NE |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.