MR. MATTHEW DAVID BURKHARDT (NPI# 1407298557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407298557 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW DAVID BURKHARDT |
| Practice Address |
745 W Moana Ln Ste 100 Reno NV 89509-4940 |
| Mailing Address |
5225 Canyon Crest Ct Sparks NV 89436-3690 |
| Practice Telephone | 7753343033 |
| Mailing Telephone | 7752005543 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
745 W MOANA LN STE 100 |
| City | RENO |
| State | NV |
| Zip Code | 89509-4940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619171063 | Andrea L Wicker | Social Worker | 745 W Moana Ln Ste 100, Reno, NV 89509 | 2007-06-12 |
| 1063040319 | Alexander Au | Student in an Organized Health Care Education/Training Program | 745 W Moana Ln Ste 100, Reno, NV 89509-4940 | 2020-03-31 |
| 1205235546 | Cory Smith | Counselor | 745 W Moana Ln Ste 100, Reno, NV 89509-4940 | 2014-08-21 |
| 1811232010 | Leslie J Gruner | Counselor | 745 W Moana Ln Ste 100, Reno, NV 89509-4940 | 2012-11-29 |
| 1073817029 | Heather Renee Perry | Counselor | 745 W Moana Ln Ste 100, Reno, NV 89509-4940 | 2011-01-05 |
| 1235444761 | Veronica Michelle Diament | Social Worker | 745 W Moana Ln Ste 100, Reno, NV 89509-4940 | 2010-08-09 |
| 1972829430 | Kellie Labarry | Social Worker | 745 W Moana Ln Ste 100, Reno, NV 89509-4940 | 2010-04-08 |
| 1346576212 | Sheryl Schultz | Social Worker | 745 W Moana Ln Ste 100, Reno, NV 89509-4940 | 2009-10-27 |
| 1669604690 | Corrie Elizabeth Gerbatz | Social Worker | 745 W Moana Ln Ste 100, Reno, NV 89509-4940 | 2009-08-08 |
| 1093946279 | Amanda Marie Magnuson | Counselor | 745 W Moana Ln Ste 100, Reno, NV 89509-4940 | 2009-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283303 | Olson Professional Services, Pllc | Electrodiagnostic Medicine | 66305 S Mccarran Blvd. Ste A4, Reno, NV 89509 | 2018-07-30 |
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1063901155 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 604 West Moana Lane, Reno, NV 89509 | 2018-05-04 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1881104099 | Trish Lee Mcguire | Occupational Therapist | 540 W Plumb Lane, Suite 201, Reno, NV 89509 | 2017-10-03 |
| 1982113825 | Sasha Bond | Behavior Technician | 3500 Lakeside Ct. #101, Reno, NV 89509 | 2017-09-22 |
| 1124547930 | Sally M Higgins | Student in an Organized Health Care Education/Training Program | 740 California Ave, Reno, NV 89509 | 2017-09-12 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| 1407373533 | Luis Andres Garcia Lopez | Behavior Technician | 3500 Lakeside Ct., #101, Reno, NV 89509 | 2017-08-29 |
| 1184150757 | Nevada Educational and Therapy Solutions, LLC | Speech-Language Pathologist | 1101 W Moana Lane #7, Reno, NV 89509 | 2017-05-02 |
| Find all providers in zip 89509 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719622 | Amy Lynn Roukie | Counselor | 850 Mill St Ste 101, Reno, NV 89502-1413 | 2020-08-06 |
| 1346863792 | William John Wynn II | Counselor | 155 Cadillac Pl, Reno, NV 89509-4355 | 2020-05-20 |
| 1013549401 | Ashley Osborne | Counselor | 1201 Terminal Way Ste 100, Reno, NV 89502-3420 | 2020-02-04 |
| 1760950364 | Troy Petersen | Counselor | 1680 Sky Mountain Dr Apt J144, Reno, NV 89523-6127 | 2018-11-13 |
| 1780181248 | Diana Wright, Psy.d., LLC | Counselor | 4600 Kietzke Ln Ste C129, Reno, NV 89502-5037 | 2018-04-11 |
| 1932607470 | Taylor Rae Riker | Counselor | 2300 Dickerson Rd Apt 11, Reno, NV 89503-4909 | 2018-01-30 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1124533245 | Shannon Joy Glasser | Counselor | 722 Gordon Ave, Reno, NV 89509-1405 | 2017-12-12 |
| 1730693482 | Gabrielle Lapira | Counselor | 3030 Leadership Pkwy Unit 13310, Reno, NV 89503-2186 | 2017-11-16 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| Find all providers in RENO | ||||
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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.