Vicki Burgess

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

17 7TH St S Ste 202
Fargo, ND 58103-1800

Phone

(701) 478-1221

NPI assigned

Jul 13, 2021

Last updated

Jul 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Resolve Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Fargo, ND
  • NPI 1861945784
  NPD

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1821660556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 7TH ST S STE 202",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031800",
            "telephone_number": "507-358-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 7TH ST S STE 202",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031800",
            "telephone_number": "701-478-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "VICKI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vickiburgess@resolvefargo.com",
            "affiliation": "N",
            "address_1": "17 7th St S Ste 202",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581031800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Buretta
• Lisa Burger, LMSW
• Kristin M Burgess, CPHT
• Linda Hamm Burgess
• Marshal Terry John Burgess, PT, DPT
• Anna Frances Burggraf, OTD
• Michaeline Burke, LCSW
• Katlyn Burkey, CCC-SLP
• Denae M Burkhardt, LSW
• Beau Ryan Burkholder, MD

• Professional Counselor in Fargo, ND
• Providers in Fargo, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.