Individual provider Active NPI

Erin Luginbuhl Burkholder, LMHC

  • Mental Health Counselor
  • Maitland, FL
National Provider Identifier
1942618384
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13724 Issued in FL
Practice address
670 N Orlando Ave Ste 103
Maitland, FL 32751-4465
Phone
(321) 209-3437
NPI assigned
Jul 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH11350 FL
Mental Health Counselor 101YM0800X MH13724 FL Primary

Addresses

Primary practice location

670 N Orlando Ave Ste 103
Maitland, FL 32751-4465

Mailing address

3220 Anderson PL
Orlando, FL 32803-6744
Phone (618) 304-4247

Other practice location 1

4725 E Lake Dr
Winter Springs, FL 32708-4607
Phone (407) 479-8574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 19, 2024 through Apr 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMH11350FLMDMental Health Counselor
MH13724FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Lane Counseling, LLC Mental Health CurrentSince Apr 5, 2020 Accepting new patients

Locations

670 N Orlando Ave
Ste 103
Maitland, FL 32751
Phone (407) 622-1770

1516 Hillcrest St
Ste 109
Orlando, FL 32803
Phone (321) 203-3437

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1942618384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 ANDERSON PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328036744",
            "telephone_number": "618-304-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N ORLANDO AVE STE 103",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514465",
            "telephone_number": "321-209-3437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4725 E Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Winter Springs",
            "state": "FL",
            "postal_code": "327084607",
            "country_code": "US",
            "telephone_number": "407-479-8574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUGINBUHL BURKHOLDER",
        "first_name": "ERIN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH11350",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.