NPIMap

Organization Active NPI

Burnham Woods Champa & Associates

  • Addiction (Substance Use Disorder) Counselor
  • Cocoa, FL
National Provider Identifier
1851354732
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MH 5004 Issued in FL
Legal business name
BURNHAM WOODS CHAMPA & ASSOCIATES
Practice address
1970 Michigan Ave
J 2
Cocoa, FL 32922-5758
Phone
(321) 639-4483
Fax
(321) 690-0848
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Gary Francis Burnham, LCSWNPI 1760446215
Title
Owner
Phone
(321) 639-4483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X MH 5004 FL Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH 6888 FL
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY0004573 FL
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW 615 FL

Addresses

Primary practice location

1970 Michigan Ave
J 2
Cocoa, FL 32922-5758

Mailing address

1970 Michigan Ave
J 2
Cocoa, FL 32922-5758
Phone (321) 639-4483

Other identifiers 1

IdentifierTypeStateIssuer
39755OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070131000153 FL Part B Supplier - Clinic/Group Practice 8325049596 Receives reassigned benefits from 8 practitioners
Practice locations: Cocoa, FL; Melbourne, FL

National Provider Directory

National Provider Directory

Locations

1970 Michigan Ave
Bldg J2
Cocoa, FL 32922
Phone (321) 639-4483

1970 Michigan Ave
Ste J2
Cocoa, FL 32922
Phone (321) 252-9631

1101 W Hibiscus Blvd
Ste 205
Melbourne, FL 32901

1101 W Hibiscus Blvd
Ste 104
Melbourne, FL 32901
Phone (321) 639-4483

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1851354732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 MICHIGAN AVE",
            "address_2": "J 2",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329225758",
            "telephone_number": "321-639-4483",
            "fax_number": "321-690-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 MICHIGAN AVE",
            "address_2": "J 2",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329225758",
            "telephone_number": "321-639-4483",
            "fax_number": "321-690-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNHAM WOODS CHAMPA & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BURNHAM",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-639-4483",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH 5004",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 6888",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0004573",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 615",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "39755",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.