Donald Burke, LADC,LCPC,CCS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LC1079 Issued in ME

Practice address

57 Exchange St
Portland, ME 04101-5000

Phone

(207) 650-9023

NPI assigned

Oct 13, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Affiliates Maine, LLC

  • Community/Behavioral Health Agency
  • Auburn, ME
  • NPI 1932413556
  Medicare reassignment NPD
• Day One

  • Children's Substance Abuse Rehabilitation Facility
  • Windham, ME
  • NPI 1164484093

  Counselor

  NPD (past)

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1780919530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 EXCHANGE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015000",
            "telephone_number": "207-650-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 EXCHANGE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015000",
            "telephone_number": "207-650-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "DONALD",
        "credential": "LADC,LCPC,CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-13",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "LC1079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289160099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Burgess, FNP-C
• Rachael Menius Burgess, MSN, CPNP-AC, CPON
• Sarah A Burgess, OT
• Kalyn Elise Burgio, LCSW
• Beth Ellen Burke, OTR/L
• Elsbeth Burke
• Kevin M Burke, M.D.
• Leah Burke, LMSW-CC
• Morgan Burke
• Samuel Francis Burke, FNP-BC, ACNPC-AG

• Counselor in Portland, ME
• Providers in Portland, ME by specialty
• Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.