Nicole Burgess, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

35001684 Issued in IN

Practice address

7002 Graham Rd
Suite 211
Indianapolis, IN 46220-4057

Phone

(317) 840-0490

NPI assigned

Mar 20, 2007

Last updated

Oct 20, 2016By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1932224870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29490",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462290490",
            "telephone_number": "317-840-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7002 GRAHAM RD",
            "address_2": "SUITE 211",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204057",
            "telephone_number": "317-840-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "NICOLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Burgess-Bush, LCSW
• Austin Burgess
• Dee Ann Burgess, PTA, WCC
• Julia Suzanne Burgess, MSN, CPNP
• Krista Nicole Burgess, NP
• Rebekah R Burgette, LMHC
• Callie Brook Burgin, MD
• Sarah Jo McDaniel Burgin, MD
• Kathy Burgoa
• Jennifer Lynne Burhenn

• Marriage & Family Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.