Stacy Burdick, DM- BCC (2054) RBAI

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

1230 Westwood Dr NW
Salem, OR 97304-3749

Phone

(971) 208-4663

NPI assigned

Jan 23, 2023

Last updated

Jul 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1093412579

  Single Specialty

  NPD Authorized official
• NW Mind-Body Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
  • NPI 1467969220

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1780399808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 WESTWOOD DR NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043749",
            "telephone_number": "971-208-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 WESTWOOD DR NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043749",
            "telephone_number": "971-208-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "DM- BCC (2054) RBAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": "ABA-IN-10254263",
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": "FL",
            "license": "2054",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": "ABA-IN-10254263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drstacyburdickauthor.com",
            "affiliation": "N",
            "endpointDescription": "Business Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "burdickstacy@hotmail.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "1230 Westwood Dr NW",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973043749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luther B Bullock Jr., D.D.S.
• Emily Bunker
• Caitlin Burbank, DPT
• Mary Katherine Burch
• Mindi Burdick, FNP-C
• Kayla Burg, EPDH
• Amy Marie Burgard
• Julie Elizabeth Burgerman, CHW
• Heather J Burgin, M.D.
• Buried Moon Counseling

• Pastoral Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Pastoral Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.