Christopher Burdick, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3875-226 Issued in WI

Practice address

1234 Main St Ste 21
Green Bay, WI 54302-1307

Phone

(920) 461-9102

Fax

(920) 273-3371

NPI assigned

Jun 16, 2020

Last updated

May 25, 2021By the provider in NPPES

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

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": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1740805696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 MAIN ST STE 21",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543021307",
            "telephone_number": "920-461-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 MAIN ST STE 21",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543021307",
            "telephone_number": "920-461-9102",
            "fax_number": "920-273-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "CHRISTOPHER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3875-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samantha Jo Burch, LMT
• Daniel R. Burczak, MD
• Amy J Buresh, RN
• Brittany R Burg, NP
• Alli Rae Burgess, PT
• Lindsay Burhop
• Carly Burish, MA BCBA

• Professional Counselor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.