Active NPI
David Burke, LPC
- Counselor
- Grandville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401009899
- Practice address
- 3380 Fairlanes Ave SW
Suite 4
Grandville, MI 49418-1584 - Phone
- (616) 890-0883
- NPI assigned
- May 17, 2007
- Last updated
- Feb 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401009899 | MI | Primary |
Addresses
Primary practice location
3380 Fairlanes Ave SW
Suite 4
Grandville, MI 49418-1584
Mailing address
PO Box 1767
Grand Rapids, MI 49501-1767
Phone (616) 235-2090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4124 56TH St SW
Suite 4
Wyoming, MI 49418-9494
Phone (616) 222-0631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009899 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burke Group Counseling & Consulting Professionals LLC | Current | Accepting new patients |
Locations
756 Fulton St W
Grand Rapids, MI 49504
Phone (616) 222-0631
4301 Canal Ave SW
Ste M
Grandville, MI 49418
Phone (616) 222-0631
4124 56th St SW
Ste 4
Wyoming, MI 49418
Phone (616) 222-0631
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Grandville, MI
- NPI 1639593627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360540800000",
"number": "1942417175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1767",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495011767",
"telephone_number": "616-235-2090",
"fax_number": "616-235-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380 FAIRLANES AVE SW",
"address_2": "SUITE 4",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494181584",
"telephone_number": "616-890-0883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "DAVID",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2013-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401009899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grandville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.