Christine M. Burback, LCPC NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.012914 Issued in IL

Practice address

175 Olde Half Day Rd Ste 100-6
Lincolnshire, IL 60069-3008

Phone

(847) 748-2558

NPI assigned

Jul 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• One True North LLC

  • Professional Counselor
  • Lincolnshire, IL
  • NPI 1417579731

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590796800000",
    "number": "1992158638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 OLDE HALF DAY RD STE 100-6",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693008",
            "telephone_number": "847-748-2558",
            "fax_number": "847-301-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 OLDE HALF DAY RD STE 100-6",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693008",
            "telephone_number": "847-748-2558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6912 Main St Ste 123",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605163440",
            "country_code": "US",
            "telephone_number": "630-707-7217",
            "fax_number": "630-964-3436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURBACK",
        "first_name": "CHRISTINE",
        "middle_name": "M.",
        "credential": "LCPC NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178012153",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178012153",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Brady, PT
• Dolores Imroth Braun, LCPC
• Kristen Britton
• Barbara Bugner, RN
• Trevor Michael Bullock, DO
• Richard A. Caner, M.D.
• Katherine J Carmody
• Claudia Carone, LPC
• Gregory George Caronis, MD
• Cathy J Drucker LCSW PC

• Professional Counselor in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2020; 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.