MRS. CAROL JEAN COLLINS BURCHARDT LCPC NPI 1063531887

NPI Information

  • NPI: 1063531887
  • Provider Name: MRS. CAROL JEAN COLLINS BURCHARDT, LCPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 2440 CHARLES ST
    SUITE 201
    ROCKFORD, IL
    ZIP 61108
  • Phone: (815) 289-7209

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NPI Details

MRS. Carol Jean Collins Burchardt, LCPC is a professional counselor in Rockford, IL. MRS. Carol Jean Collins Burchardt, LCPC NPI is 1063531887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2440 CHARLES ST
SUITE 201
ROCKFORD, IL
ZIP 61108-654
Phone: (815) 289-7209

The enumeration date for this NPI number is 3/29/2007 and was last updated on 7/20/2009.

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
1101YP2500XCounselorProfessional180 003390ILLINOISYes

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: 11/21/2025

NPI Synchronization or Removal

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