Active NPI
Erin Luginbuhl Burkholder, LMHC
- Mental Health Counselor
- Maitland, FL
National Provider Identifier
1942618384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH13724
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| IMH11350 | FL | MD | Mental Health Counselor |
| MH13724 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Lane Counseling, LLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Maitland, FL
- NPI 1538797964
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.