Active NPI
Burke Counseling Service Inc
- Psychiatry Physician
- Grove City, PA
National Provider Identifier
1811076680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD039457E
- Legal business name
- BURKE COUNSELING SERVICE INC
- Practice address
- 107 Breckenridge St
Grove City, PA 16127-1003 - Phone
- (724) 458-4330
- Fax
- (724) 458-4550
- NPI assigned
- Nov 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Burke, LCSW
- Title
- Owner
- Phone
- (724) 458-4330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD039457E | PA | Primary |
Addresses
Primary practice location
107 Breckenridge St
Grove City, PA 16127-1003
Mailing address
107 Breckenridge St
Grove City, PA 16127-1003
Phone (724) 458-4330
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811076680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 BRECKENRIDGE ST",
"city": "GROVE CITY",
"state": "PA",
"postal_code": "161271003",
"telephone_number": "724-458-4330",
"fax_number": "724-458-4550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 BRECKENRIDGE ST",
"city": "GROVE CITY",
"state": "PA",
"postal_code": "161271003",
"telephone_number": "724-458-4330",
"fax_number": "724-458-4550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURKE COUNSELING SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "724-458-4330",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD039457E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grove City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.