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MRS. MICHELLE MARIE BURKS CADC LPC NPI 1245500826


NPI Information

NPI: 1245500826
Provider Name: MRS. MICHELLE MARIE BURKS, CADC LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1500 E HERITAGE PARK ST STE 150
MERIDIAN, ID
ZIP 83646
Phone: (082) 631-0843
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MRS. Michelle Marie Burks, CADC LPC is a mental health counselor in Meridian, ID. MRS. Michelle Marie Burks, CADC LPC NPI is 1245500826. 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:

1500 E HERITAGE PARK ST STE 150
MERIDIAN, ID
ZIP 83646-800
Phone: (082) 631-0843
Fax: (208) 906-0807

The enumeration date for this NPI number is 1/12/2012 and was last updated on 9/4/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthLCPC6211IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11245500826MEDICAIDIDAHO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.