ELIZABETH BURGESS (NPI# 1700375383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700375383 |
| Entity Type | Individual |
| Full Name | ELIZABETH BURGESS |
| Practice Address |
19401 Northline Rd Bldg 5 Southgate MI 48195-2277 |
| Mailing Address |
13101 Allen Rd Southgate MI 48195-2216 |
| Practice Telephone | 8108412539 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401016565 | MI | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 6301016456 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760093405 | Elizabeth Burgess | Social Worker | 623 Park Meadow Rd Ste H, Westerville, OH 43081-2876 | 2020-08-16 |
| 1962060723 | Elizabeth Jeanne Burgess | Student in an Organized Health Care Education/Training Program | 14 Lake St, Oak Park, IL 60302-2606 | 2019-06-05 |
| 1922583525 | Elizabeth Burgess | Pediatrics | 1675 Trinity Dr, Pensacola, FL 32504 | 2018-09-28 |
| 1760964274 | Elizabeth Ann Burgess | Physical Therapist | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2018-08-30 |
| 1881091833 | Elizabeth Burgess | Dietitian, Registered | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2014-11-19 |
| 1366841132 | Elizabeth Jane Burgess | Pharmacist | 3714 Norrisville Rd, Jarrettsville, MD 21084-1419 | 2014-08-18 |
| 1316371255 | Elizabeth Saunders Burgess | Dentist | 1626 Harbor View Rd, Charleston, SC 29412-3201 | 2013-08-28 |
| 1588662001 | Elizabeth Burgess | Anesthesiology | 1241 Shawhan Rd, Morrow, OH 45152-9695 | 2005-07-08 |
| Street Address |
19401 NORTHLINE RD BLDG 5 |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699011684 | Rachel Zaran | Speech-Language Pathologist | 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 | 2012-12-18 |
| 1942859269 | Rejillia Johnston | Student in an Organized Health Care Education/Training Program | 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 | 2019-09-09 |
| 1639691694 | Lynda Johnson | Social Worker | 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 | 2017-07-12 |
| 1265968895 | Jillian Out | Psychologist | 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 | 2017-05-02 |
| 1215478359 | Christa Campbell | Case Manager/Care Coordinator | 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 | 2017-03-08 |
| 1851843916 | Brittany Nicole Page | Social Worker | 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 | 2016-10-25 |
| 1740665397 | Kimberly Vasicek | Case Manager/Care Coordinator | 19401 Northline Rd Bldg 5, Southgate, MI 48195 | 2015-07-24 |
| 1184039224 | Breana Witte | Speech-Language Pathologist | 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 | 2014-06-27 |
| 1417388224 | Gwendolyn Hooks | Psychologist | 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 | 2013-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| 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 |
|---|---|---|---|---|
| 1164905675 | Jenna Debryn | Counselor | The Guidance Center, 13101 Allen Rd. Building 4, Southgate, MI 48915 | 2018-09-11 |
| 1902180151 | Victoria Lee Gillespie | Counselor | 14638 Fordline St, Southgate, MI 48195-2549 | 2011-10-06 |
| 1932499787 | Stephanie Carney | Counselor | 13101 Allen Rd Unit 500, Southgate, MI 48195-2216 | 2011-04-13 |
| 1871816314 | Angelo Francesco Degiulio | Counselor | 30101 Allen Rd, Southgate, MI 48195 | 2010-03-11 |
| 1801020383 | Lakeya Nico Martin | Counselor | 13101 Allen, Southgate, MI 48195 | 2009-05-12 |
| 1376665034 | Andrea Lynn Gibbs | Counselor | 1 Heritage Dr # 520, Southgate, MI 48195-3094 | 2007-04-04 |
| 1992825756 | Shelly A Meller | Counselor | 13101 Northline Road, Southgate, MI 48195 | 2007-03-29 |
| 1912922410 | Michael Chapman | Counselor | 19401 Northline Rd, Southgate, MI 48195-2277 | 2006-07-13 |
| 1851908214 | Amanda Renae Meyers | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-09-29 |
| 1609494046 | Dequindre Lashay Jernigan | Counselor | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2020-07-13 |
| Find all providers in SOUTHGATE | ||||
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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.