Burke Council on Alcoholism & Chemical Dependency, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

27G.3700 Issued in NC

Legal business name

BURKE COUNCIL ON ALCOHOLISM & CHEMICAL DEPENDENCY, INC.

Doing business as

Burke Recovery

Practice address

203 White St
Morganton, NC 28655-3417

Phone

(828) 433-1221

Fax

(828) 433-1287

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Joe Marks

Title

Executive Director

Phone

(828) 433-1221

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Burke Recovery Doing business as

Tax ID family

Burke Council on Alcoholism Chemical Dependency Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Burke Council on Alcoholism & Chemical Dependency, Inc.

  • Substance Abuse Rehabilitation Facility
  • Morganton, NC
  • NPI 1013341833
  NPD tax ID
• Burke Council on Alcoholism & Chemical Dependency, Inc.

  • Substance Abuse Rehabilitation Facility
  • Morganton, NC
  • NPI 1396179156
  NPD tax ID
• Burke Council on Alcoholism and Chemical Dependency, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Lenoir, NC
  • NPI 1316397847
  NPD tax ID
• Burke Council on Alcoholism and Chemical Dependency, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Morganton, NC
  • NPI 1376912873
  NPD tax ID

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1750532800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WHITE ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553417",
            "telephone_number": "828-433-1221",
            "fax_number": "828-433-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WHITE ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553417",
            "telephone_number": "828-433-1221",
            "fax_number": "828-433-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE COUNCIL ON ALCOHOLISM & CHEMICAL DEPENDENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-433-1221"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "27G.3700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006610",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burke Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crysta Marie Bumgarner, M.S., CCC-SLP
• Faith Burgess, M.S., CCC-SLP
• Burke Behavioral Alliance Inc.
• Burke Council on Alcoholism & Chemical Dependency, Inc.
• Burke Council on Alcoholism & Chemical Dependency, Inc.
• Burke Council on Alcoholism and Chemical Dependency, Inc.
• Burke County Department of Social Services
• Burke County Public Schools
• Burke County Public Schools
• Burke County Rescue Squadron Inc.

• Addiction (Substance Use Disorder) Counselor in Morganton, NC
• Providers in Morganton, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.