Emily Burnham

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R9495 Issued in OR

Practice address

1180 SE Division St Ste 1
Bend, OR 97702-1250

Phone

(541) 229-8861

NPI assigned

Jan 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Emily Schreffler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1861263022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 NW AWBREY ROAD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031540",
            "telephone_number": "925-768-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SE DIVISION ST STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021250",
            "telephone_number": "541-229-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R9495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SCHREFFLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hayden Burket
• Jennifer Burkett, LMT
• Chloe Serafina Burkhardt, LPC
• Marie Burkhart
• Amy Burks, LCSW
• Joshua Burns
• Mary Burns, MS, CCC-SLP
• Susie Burns, LMT, NKT
• Robert E Burnside, DMD
• Deborah Burris

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.