Randy Burage

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

430 Victoria LN
Elgin, IL 60124-3838

Phone

(773) 554-7090

NPI assigned

Sep 17, 2018

Last updated

Feb 9, 2021By 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 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: rburage@eckercenter.org

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1790269710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 VICTORIA LN",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601243838",
            "telephone_number": "773-554-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 VICTORIA LN",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601243838",
            "telephone_number": "773-554-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURAGE",
        "first_name": "RANDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-17",
        "last_updated": "2021-02-09",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "$$$$$$$$$",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790269710",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RBURAGE@ECKERCENTER.ORG",
            "affiliation": "N",
            "address_1": "1845 Grandstand Pl",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601236603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jake Buhmann
• Brian James Builta, MA, CADC
• Terri Bukofzer, LCSW, CADC
• Natalie Bullen
• Nicholas Bumbales, D.C.
• Luis Germano Buranello Neves, DC
• Sally Burke
• Sandy L Burke, MHP- BA
• Shannon Kayla Burless
• Rebecca J Burns

• Mental Health Counselor in Elgin, IL
• Providers in Elgin, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.