BRIAN THOMAS BURGESS LCPC NPI 1073861217

NPI Information

NPI: 1073861217
Provider Name: BRIAN THOMAS BURGESS, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
3166 N LINCOLN AVE
SUITE 325
CHICAGO, IL
ZIP 60657
Phone: (773) 405-3541
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Brian Thomas Burgess, LCPC is a mental health counselor in Chicago, IL. Brian Thomas Burgess, LCPC NPI is 1073861217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3166 N LINCOLN AVE
SUITE 325
CHICAGO, IL
ZIP 60657-133
Phone: (773) 405-3541

The NPI 1073861217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/20/2012 and was last updated on 8/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	180008239	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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