Individual provider Active NPI

John Sheppard Burke, LCSW

  • Social Worker
  • Kansas City, MO
National Provider Identifier
1982769808
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
002500 Issued in MO
Practice address
1010 Carondelet Dr
Suite 412
Kansas City, MO 64114-4859
Phone
(816) 763-6540
Fax
(816) 943-6591
NPI assigned
Dec 22, 2006
Last updated
May 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 002500 MO Primary

Addresses

Primary practice location

1010 Carondelet Dr
Suite 412
Kansas City, MO 64114-4859

Mailing address

1010 Carondelet Dr
Suite 412
Kansas City, MO 64114-4859
Phone (816) 763-6540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015000251 MO Practitioner - Clinical Social Worker 5890987606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Burke Counseling and Consulting IncGroup PAC ID 2961583968, 2 clinicians

Practice addresses (Care Compare)

1010 Carondelet Dr
Suite 412
Kansas City, MO 64114-4824
Phone (816) 763-6540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2500MOMDProfessional Counselor
002500MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burke Counseling & Consulting, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Midwest Psychiatric Consultants, P.C. PastSince Apr 20, 1998 Accepting new patients
Kansas City University Past Accepting new patients

Locations

1010 Carondelet Dr
Ste 412
Kansas City, MO 64114
Phone (816) 763-6540

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1982769808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 412",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-763-6540",
            "fax_number": "816-943-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 412",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-763-6540",
            "fax_number": "816-943-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JOHN",
        "middle_name": "SHEPPARD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "002500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.