Organization Active NPI

Burke Counseling Service Inc

  • Psychiatry Physician
  • Grove City, PA
National Provider Identifier
1811076680
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD039457E Issued in PA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.