Kim Burback

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2149 Centennial PLZ Ste 4
Eugene, OR 97401-2456

Phone

(541) 393-0777

NPI assigned

Oct 24, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Addiction Counseling and Education Services Inc.

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1780712851
  NPD

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1972146652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 CENTENNIAL PLZ STE 4",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012456",
            "telephone_number": "541-393-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 CENTENNIAL PLZ STE 4",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012456",
            "telephone_number": "541-393-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBACK",
        "first_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Bundy, PH.D.
• Michelle RM Bunn, SLP
• Rachelle Molina Bunnao, DDS
• Karen R Buntman, MD
• Rowan Bupp, M.S., CCC-SLP
• Adam Nielsen Burch, DO
• Jami Burch
• Emily Claire Burchell
• Asha Burden-Dyke
• Katherine Burden, RN

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.