MEGAN BURGESS NPI 1164891404

NPI Information

NPI: 1164891404
Provider Name: MEGAN BURGESS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4795 BROADWAY
GARY, IN
ZIP 46409
Phone: (219) 887-3688
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Megan Burgess is an addiction (substance use disorder) counselor in Gary, IN. Megan Burgess NPI is 1164891404. 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:

4795 BROADWAY
GARY, IN
ZIP 46409
Phone: (219) 887-3688
Fax: (219) 887-2666

The enumeration date for this NPI number is 9/16/2015 and was last updated on 9/16/2015.

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	101Y00000X	Counselor		33005040A	INDIANA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	87000928A	INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	87000928A	OTHER	INDIANA	LCAC LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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