MEGAN BURGESS (NPI# 1164891404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164891404 |
| Entity Type | Individual |
| Full Name | MEGAN BURGESS |
| Practice Address |
4795 Broadway Gary IN 46409 |
| Mailing Address |
4795 Broadway Gary IN 46409-2403 |
| Practice Telephone | 2198873688 |
| Practice Fax Number | 2198872666 |
| Mailing Telephone | 2198873688 |
| Mailing Fax Number | 2198872666 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 33005040A | IN | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
87000928A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | LCAC LICENSE | 87000928A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289086 | Megan Burgess | Chiropractor | 1656 Brightwaters Blvd Northeast, Saint Petersburg, FL 33704 | 2020-06-10 |
| 1508336439 | Megan S Burgess | Nurse Practitioner | 75 Dawson St, Sandusky, MI 48471-3305 | 2018-12-04 |
| 1639550288 | Megan E Burgess | Speech-Language Pathologist | 6 Edwin St, Morgantown, WV 26501-8505 | 2015-06-09 |
| 1306189733 | Megan Jessica Burgess | Counselor | 5707 N 22nd St, Tampa, FL 33610-4350 | 2013-04-04 |
| 1811218969 | Megan Maupin Burgess | Physical Therapist | 845 N New Ballas Ct, Suite 40, Saint Louis, MO 63141-7134 | 2010-06-11 |
| 1720291941 | Megan Marie Burgess | Plastic Surgery | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2007-05-07 |
| Street Address |
4795 BROADWAY |
| City | GARY |
| State | IN |
| Zip Code | 46409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316027998 | Nhi Home Base Service Corp. | Clinic/Center | 4795 Broadway, Gary, IN 46409 | 2006-10-17 |
| 1104377183 | Kenneth Earl Abrams Jr. | Social Worker | 4795 Broadway, Gary, IN 46409-2403 | 2016-10-14 |
| 1184089617 | New Horizon Inc. | Community/Behavioral Health | 4795 Broadway, Gary, IN 46409-2403 | 2015-12-29 |
| 1437529625 | Eusebio Enrique Camacho Medina | Counselor | 4795 Broadway, Gary, IN 46409-2403 | 2015-09-30 |
| 1417326612 | Teneisha Parker-abrams | Social Worker | 4795 Broadway, Gary, IN 46409-2403 | 2015-09-17 |
| 1922476605 | Theresa Lynn Petruska | In Home Supportive Care | 4795 Broadway, Suite A, Gary, IN 46409-2403 | 2015-09-11 |
| 1518335793 | Walter Scott | Counselor | 4795 Broadway, Gary, IN 46409-2403 | 2015-09-04 |
| 1639574031 | Janee' Lenese Fuller | Social Worker | 4795 Broadway, Gary, IN 46409-2403 | 2014-10-28 |
| 1366677213 | Merideth Krashonda Owens | Counselor | 4795 Broadway, Gary, IN 46409 | 2009-05-21 |
| 1699842377 | Anne M Wells | Psychologist | 4795 Broadway, Gary, IN 46409-2403 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548530439 | Sibis Counseling Center LLC | Counselor | 3195 Broadway Lowr Level, Gary, IN 46409-1006 | 2012-01-09 |
| 1750303343 | Adolphus A Anekwe | Specialist | 3195 Broadway, Gary, IN 46409-1006 | 2006-07-24 |
| 1215219084 | Broadway Dental Services | Dentist | 3195 Broadway, Gary, IN 46409-1006 | 2011-09-16 |
| 1528392156 | Tonya A. Harvey | Nurse Practitioner | 3195 Broadway, Gary, IN 46409-1006 | 2009-09-29 |
| 1629196761 | Broadway Medical Corporation, PC | Specialist | 3195 Broadway, Gary, IN 46409-1006 | 2007-03-27 |
| 1023166758 | Frank Edward Pate | Dentist | 3195 Broadway, Gary, IN 46409-1006 | 2007-01-08 |
| 1528173853 | Edwin Kenneth Mcdonald IIi | Dentist | 3195 Broadway, Gary, IN 46409-1006 | 2006-08-19 |
| 1063417657 | Raied Abdullah | Internal Medicine | 3229 Broadway, Suite 205, Gary, IN 46409-1036 | 2005-06-20 |
| 1184001851 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 3229 Broadway, 112, Gary, IN 46409-1036 | 2015-05-01 |
| 1598922510 | Cardiovascular Clinics PC | Internal Medicine | 3229 Broadway, Gary, IN 46409-1036 | 2008-05-19 |
| Find all providers in zip 46409 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467988238 | Regina Hendley | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2017-05-11 |
| 1730530726 | Sandra Hunt | Counselor | 500 E 49th Ave, Gary, IN 46409-2808 | 2016-06-30 |
| 1447642772 | Michael Pirtle | Counselor | 1100 W. Fifth Ave, Gary, IN 46402 | 2015-02-24 |
| 1295142594 | Demetria A Macon | Counselor | 1100 W. 6th Ave, Gary, IN 46402 | 2014-07-18 |
| 1366855462 | Victoria Charleston | Counselor | 1110 W 5th Ave, Gary, IN 46402-1723 | 2014-06-05 |
| 1598196628 | Darcelmarie Smith | Counselor | 839 Broadway Ste 104, Gary, IN 46402-2414 | 2013-11-27 |
| 1457982928 | Raquel Wood | Counselor | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-02-03 |
| 1306497797 | Heather Hollenbacher | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2019-09-26 |
| 1407405335 | Alexandria Ann Bucher | Counselor | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-09-04 |
| 1578110029 | Debbie A Bales | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2019-08-20 |
| Find all providers in GARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.