Organization Active NPI

Burke Counseling & Consulting, Inc.

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1881889152
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2003003710 Issued in MO
Legal business name
BURKE COUNSELING & CONSULTING, INC.
Practice address
1010 Carondelet Dr
Suite 412
Kansas City, MO 64114-4859
Phone
(816) 210-4982
Fax
(816) 763-6540
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Mrs. Gwendolyn Diane Burke, M.S.W.NPI 1457399974
Title
Therapist
Phone
(816) 210-4982

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 2003003710 MO Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 2291 KS

Addresses

Primary practice location

1010 Carondelet Dr
Suite 412
Kansas City, MO 64114-4859

Mailing address

7804 E 119TH St
Grandview, MO 64030-1310
Phone (816) 210-4982

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080116000228 MO Part B Supplier - Clinic/Group Practice 2961583968 Receives reassigned benefits from 2 practitioners
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

1010 Carondelet Dr
Ste 412
Kansas City, MO 64114
Phone (816) 763-6540

1010 Carondelet Dr
#B
Kansas City, MO 64114
Phone (816) 942-9050

10920 N Ambassador Dr
Ste 102
Kansas City, MO 64153
Phone (816) 210-4982

4151 N Mulberry Dr
Ste 203
Kansas City, MO 64116
Phone (816) 763-6540

1010 Carondelet Dr
Ste 427
Kansas City, MO 64114
Phone (816) 763-6540

1801 NW Platte Rd
Ste 231
Riverside, MO 64150
Phone (816) 763-6540

Practitioners & affiliated clinicians

Practitioners 4

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": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1881889152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 E 119TH ST",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640301310",
            "telephone_number": "816-210-4982",
            "fax_number": "816-763-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 412",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-210-4982",
            "fax_number": "816-763-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE COUNSELING & CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "816-210-4982",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2003003710",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.