MARJORIE DEMIRS BURGESS (NPI# 1568672251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568672251 |
| Entity Type | Individual |
| Full Name | MARJORIE DEMIRS BURGESS |
| Credential | LPC |
| Practice Address |
37 Brunswick Ave Gardiner ME 04345-2154 |
| Mailing Address |
15 Green St Gardiner ME 04345-2305 |
| Practice Telephone | 2075822663 |
| Mailing Telephone | 2075822663 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
804 | ME | Behavioral Health & Social Service Providers |
| Street Address |
37 BRUNSWICK AVE |
| City | GARDINER |
| State | ME |
| Zip Code | 04345-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356424105 | Deborah Jean Schooley | Social Worker | 37 Brunswick Ave, Gardiner, ME 04345-2154 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023506284 | Melissa Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 46 Neal St, Gardiner, ME 04345 | 2018-04-24 |
| 1568797561 | New Communities, Inc. | Assisted Living Facility | 13 Plaisted Street, Gardiner, ME 04345 | 2009-10-08 |
| 1548499486 | Wholistic Home Care of Maine | Home Health | 37 Brunswick Ave., Suite 1, Gardiner, ME 04345 | 2009-07-14 |
| 1730318007 | Penny A. Purington | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23 Puringtons Lane, Gardiner, ME 04345 | 2009-07-08 |
| 1083877229 | Grace H Brace | Social Worker | 418 Water St, Gardomer, ME 04345 | 2008-07-08 |
| 1497885495 | Kim Lavallee | Social Worker | 139 Old North Road, West Gardiner, ME 04345 | 2007-03-07 |
| 1457374803 | Gardiner Family Chiropractic | Chiropractor | 90 Main Ave, Gardiner, ME 04345 | 2006-07-26 |
| 1699275420 | Bio-medical Applications of Maine, Inc. | Clinic/Center | 46 Summer St, Gardiner, ME 04345 | 2018-02-19 |
| 1285948166 | Sailesh Kumar Duvvuru | Pharmacist | 9 Spring St, Gardiner, ME 04345 | 2010-08-03 |
| 1073742037 | Penny Ann Purington | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23 Puringtons Lane, Gardiner, ME 04345 | 2009-07-10 |
| Find all providers in zip 04345 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164792123 | Brian James Dineen II | Counselor | 369 Highland Ave, Gardiner, ME 04345-6003 | 2012-01-09 |
| 1356656268 | Kathryn Murray | Counselor | 4 Hillcrest St, Gardiner, ME 04345-1816 | 2010-08-16 |
| 1992828677 | Richard Milton Weiss | Counselor | 323 Water St, Gardiner, ME 04345-2156 | 2007-04-09 |
| 1417093444 | Connie Therese Valliere | Counselor | 17 Brunswick Ave, Gardiner, ME 04345-2123 | 2007-01-29 |
| 1659439990 | Diana J Bowen | Counselor | 17 Brunswick Avenue, Gardiner, ME 04345 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062271 | Megan Joanne Mitchell | Counselor | 471 Howe Hill Road, Greenwood, ME 04255 | 2020-10-30 |
| 1245862150 | Jing Ye | Counselor | 165 Captain John Parker Rd, Phippsburg, ME 04562-4546 | 2020-02-08 |
| 1336770726 | Holly Helena Carletti Alivizatos | Counselor | 43 Coach Lantern Ln W, Scarborough, ME 04074-8510 | 2020-02-04 |
| 1437780590 | Cheryl Bedan | Counselor | 300 Portland Rd Ste 1, Bridgton, ME 04009-4227 | 2020-01-28 |
| 1427694546 | Gerard Fitzgerald | Counselor | 303 Coopers Mills Rd, Windsor, ME 04363-3825 | 2019-11-24 |
| 1922658988 | Bailey G Knox | Counselor | 64 Lisbon St Ste 2, Lewiston, ME 04240-8064 | 2019-09-12 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1467928317 | Carlos Lopez & Associates LLC | Counselor | 213 W. Broadway, Lincoln, ME 04457 | 2018-10-18 |
| 1609368877 | Laurie Mclean Reckendorf | Counselor | 16 Jamesey Court, Suite 100, New Harbor, ME 04554 | 2018-06-04 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| 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.