Anita W Burgess, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701004256 Issued in VA

Practice address

1001 Richmond Rd Ste a
Williamsburg, VA 23185-2895

Phone

(757) 220-2669

Fax

(757) 220-1991

NPI assigned

Oct 2, 2007

Last updated

Oct 24, 2017By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Colonial Behavioral Health

  • Health Maintenance Organization
  • Williamsburg, VA
  • NPI 1841556776
  NPD (past)

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1912194010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 SETTLEMENT DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882669",
            "telephone_number": "757-258-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 RICHMOND RD STE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852895",
            "telephone_number": "757-220-2669",
            "fax_number": "757-220-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "ANITA",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liza M Buckingham, AUD
• Emma K. Burch, MD
• Laura Lynn Burcham, PHARMACY TECHNICIAN
• Michelle Anne Burchett
• James A Burden, D.D.S.
• Scott Vassar Burgess, M.D.
• Maria Elena Burke, PSYD
• Elizabeth A Burkey, MD
• Katie Nettesheim Burkey
• Genevieve Ellen Burnett

• Professional Counselor in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.