Lacey Burch

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2013017061 Issued in MO

Practice address

745 Craig Rd Ste 305
Saint Louis, MO 63141-7122

Phone

(417) 849-1629

NPI assigned

Apr 18, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1700573102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9389 GOLDEN GATE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442125",
            "telephone_number": "417-849-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 CRAIG RD STE 305",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417122",
            "telephone_number": "417-849-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "LACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013017061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anja Susanne Bunton
• Kelsey Elizabeth Bunton, OTR/L
• Madisyn Burbridge, DPT
• Jonathan Burch, ATC
• Kari Burch, O.T.D.
• Mary Katherine Burch, RNC, WHNP, MC
• Ryan Turner Burch, DO
• Brittany Marie Burchett, M.P.T.
• Teressa Lynn Burchett, AGNP
• Andrew James Burcke, MD

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.