Organization Active NPI

Luke Burgdorf Counseling LLC

  • Counseling Psychologist
  • Kalamazoo, MI
National Provider Identifier
1992418024
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
LUKE BURGDORF COUNSELING LLC
Practice address
2616 Outlook St
Kalamazoo, MI 49001-4228
Phone
(269) 348-5068
Fax
(269) 666-6574
NPI assigned
Jan 4, 2023
Last updated
Jan 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Luke BurgdorfNPI 1689008708
Title
Owner of Entity
Phone
(269) 348-5068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X NU Primary

Addresses

Primary practice location

2616 Outlook St
Kalamazoo, MI 49001-4228

Mailing address

2616 Outlook St
Kalamazoo, MI 49001-4228
Phone (269) 348-5068

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1992418024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 OUTLOOK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014228",
            "telephone_number": "269-348-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 OUTLOOK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014228",
            "telephone_number": "269-348-5068",
            "fax_number": "269-666-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKE BURGDORF COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "BURGDORF",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "269-348-5068"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.