MR. PAUL BURKHALTER (NPI# 1366077026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366077026 |
| Entity Type | Individual |
| Full Name | MR. PAUL BURKHALTER |
| Credential | MS, MA, LAPC, NCC |
| Practice Address |
1301 Shiloh Rd Nw Ste 1810 Kennesaw GA 30144-7171 |
| Mailing Address |
2383 Akers Mill Rd Se Apt B12 Atlanta GA 30339-2500 |
| Practice Telephone | 8777525262 |
| Mailing Telephone | 6787775582 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
APC006860 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1301 SHILOH RD NW STE 1810 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-7171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497099428 | Anna Mistretta-bradley | Counselor | 1301 Shiloh Rd Nw Ste 1810, Kennesaw, GA 30144-7171 | 2012-11-15 |
| 1033765664 | Autumn Elizabeth Lowery | Social Worker | 1301 Shiloh Rd Nw Ste 1810, Kennesaw, GA 30144-7171 | 2019-08-09 |
| 1659864130 | Elzbieta K Orlowska | Counselor | 1301 Shiloh Rd Nw Ste 1810, Kennesaw, GA 30144-7171 | 2018-06-11 |
| 1750884557 | Lauren Elizabeth Jones | Registered Nurse | 1301 Shiloh Rd Nw Ste 1810, Kennesaw, GA 30144-7171 | 2018-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669034757 | Stephanie D Wells | Counselor | 2997 Owens Meadow Dr Nw, Kennesaw, GA 30152-2558 | 2019-06-28 |
| 1790028447 | X'cel M Cedeno | Counselor | 3091 Cobb Pkwy Nw Apt 1822, Kennesaw, GA 30152-5892 | 2013-04-01 |
| 1518258508 | Arch Way Housing Program, Inc. | Counselor | 2402 Owens Landing Way Nw, Kennesaw, GA 30152-6551 | 2011-04-25 |
| 1609078500 | Roy Alln Blankenship | Counselor | 1301 Shiloh Road, Suite 840, Kennesaw, GA 30144 | 2007-06-03 |
| 1639699689 | Conrad Valcy | Counselor | 1291 Stanley Rd Nw, Kennesaw, GA 30152-4359 | 2017-06-21 |
| 1962750521 | Kevin Lee Weikum | Counselor | 3166 Cherokee Street, Suite 201, Kennesaw, GA 30144 | 2012-08-29 |
| 1356677504 | Lane Gormley | Counselor | 1050 Shiloh Rd Nw, Suite 316, Kennesaw, GA 30144-7194 | 2009-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354864 | Our Voice Matters LLC | Counselor | 1258 Cedar Ave Unit 701, Columbus, GA 31906-2446 | 2020-10-18 |
| 1659978294 | Brett Lowrey | Counselor | 400 Dawson Commons Cir Ste 400, Dawsonville, GA 30534-6269 | 2020-10-07 |
| 1972110674 | Tiffany Scott | Counselor | 9071 Jimmy Lee Cir, Jonesboro, GA 30238-7009 | 2020-09-26 |
| 1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
| 1780296723 | Janet Brown | Counselor | 166b Mount Pleasant Church Rd, Pineview, GA 31071-5248 | 2020-08-20 |
| 1598377038 | Angie Hamilton | Counselor | 5101 Waterford Dr Sw, Mableton, GA 30126-1742 | 2020-08-17 |
| 1255942355 | Sonia Diane Glass | Counselor | 6285 Littleton Dr, Union City, GA 30291-1071 | 2020-08-12 |
| 1679198410 | Lorri Michelle Strickland | Counselor | 1040 Us Hwy 280 W, Pembroke, GA 31321 | 2020-06-08 |
| 1184246118 | Christopher White | Counselor | 1430 Desoto Ave Sw, Atlanta, GA 30310-4340 | 2020-05-13 |
| 1316569619 | G.r.a.y.s. Group, LLC | Counselor | 1227 Augusta West Pkwy Ste 15, Augusta, GA 30909-6671 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
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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.