Krystil Midori Burke, RMHCI

Primary specialty

CounselorTaxonomy code 101Y00000X

License

IMH24445 Issued in FL

Practice address

4905 Lantana Rd
Lake Worth, FL 33463-6915

Phone

(561) 340-7269

NPI assigned

Oct 12, 2023

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

• Krystil Midori Hall 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": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1942081096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 VILLAGE BLVD APT 108",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097457",
            "telephone_number": "803-673-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 LANTANA RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636915",
            "telephone_number": "561-340-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "KRYSTIL",
        "middle_name": "MIDORI",
        "credential": "RMHCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "IMH24445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTIL",
            "last_name": "HALL",
            "middle_name": "MIDORI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori Diane Burack, MSW
• Robert Burger, M.D.
• Dennis Burke Jr., PTA
• Elsa Carline Burke, MSW
• Judy Burke
• Latoya Jenelle Burke, LCSW
• Joshua Dee Burks, MD
• Christopher Burmaster
• Janice Lynn Burnett, PTA
• Dana Monroe Burns

• Counselor in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.