CHARLES R BURGETT (NPI# 1336307487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336307487 |
| Entity Type | Individual |
| Full Name | CHARLES R BURGETT |
| Credential | LMFT |
| Practice Address |
410 E 11th Ave Bowling Green KY 42101-2637 |
| Mailing Address |
8074 Russellville Rd Bowling Green KY 42101-7337 |
| Practice Telephone | 2707794271 |
| Mailing Telephone | 2707794271 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | KY-0662 | KY | Behavioral Health & Social Service Providers |
| Street Address |
410 E 11TH AVE |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578973384 | Jacob M. Hamlin | Marriage & Family Therapist | 410 E 11th Ave, Bowling Green, KY 42101-2637 | 2014-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295208577 | Jennifer Kehrle | Marriage & Family Therapist | 119 S 12th St Apt E, Bowling Green, MO 63334-1978 | 2019-01-09 |
| 1780901983 | Derrick A Mason | Marriage & Family Therapist | 1048 Ashley St Ste 201, Bowling Green, KY 42103-2449 | 2010-04-27 |
| 1801099031 | Wanda Hale Schubarth | Marriage & Family Therapist | 410 East 11th Street, Bowling Green, KY 42102 | 2007-06-06 |
| 1033246350 | Kimberly G Early | Marriage & Family Therapist | 1830 Destiny Court, Suite 107, Bowling Green, KY 42104 | 2007-02-27 |
| 1245396738 | Diana Gail Caillouet | Marriage & Family Therapist | 2530 Scottsville Rd, 22, Bowling Green, KY 42104-6509 | 2006-12-29 |
| 1295821205 | Full Life Counseling Service, Psc | Marriage & Family Therapist | 1058 Us 31w Byp, Bowling Green, KY 42101-2418 | 2006-10-05 |
| 1295831436 | Tonya L Gregory | Marriage & Family Therapist | 1011 Lehman Ave Ste 103, Bowling Green, KY 42103-6515 | 2006-09-15 |
| 1558471110 | Teresa Rohman | Marriage & Family Therapist | 1719 Ashley Cir Ste 100, Bowling Green, KY 42104-5837 | 2006-08-30 |
| 1235695461 | Steven Allen Tyree | Marriage & Family Therapist | 1911b Scottsville Rd, Bowling Green, KY 42104-3303 | 2019-02-12 |
| 1154802437 | David E. Scott | Marriage & Family Therapist | 1910 Lyda Ave, Bowling Green, KY 42104-3326 | 2018-08-24 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
Please comment or provide details below to improve the information on CHARLES R BURGETT.
| 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.