MATT JAMES BURCH (NPI# 1972987899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972987899 |
| Entity Type | Individual |
| Full Name | MATT JAMES BURCH |
| Practice Address |
4073 Highway 53 Hoschton GA 30548-2305 |
| Practice Telephone | 7708825884 |
| Practice Fax Number | 7066580116 |
| Mailing Telephone | 7708825884 |
| Mailing Fax Number | 7066580116 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
005247 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003154238A | 05 |
| Street Address |
4073 HIGHWAY 53 |
| City | HOSCHTON |
| State | GA |
| Zip Code | 30548-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487954384 | Heather Chelsey Futral | Psychologist | 4073 Highway 53, Hoschton, GA 30548-2305 | 2010-10-25 |
| 1194357913 | Lydia Breer | Social Worker | 4073 Highway 53, Hoschton, GA 30548-2305 | 2020-02-10 |
| 1588225619 | Deborah Gunnin | Psychologist | 4073 Highway 53, Hoschton, GA 30548-2305 | 2019-06-28 |
| 1730642521 | Christopher Williams | Social Worker | 4073 Highway 53, Hoschton, GA 30548-2305 | 2019-04-09 |
| 1194268607 | Sheila Spruill | Social Worker | 4073 Highway 53, Hoschton, GA 30548-2305 | 2016-12-01 |
| 1487103834 | Mercedes Kamerman | Psychologist | 4073 Highway 53, Hoschton, GA 30548-2305 | 2016-09-27 |
| 1407230410 | Northeast Georgia Psychological Services LLC | Psychologist | 4073 Highway 53, Hoschton, GA 30548-2305 | 2015-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386108587 | Lan Tran Schlecht | Social Worker | 255 Lamar Ln, Hoschton, GA 30548 | 2019-01-22 |
| 1265932560 | Carley Costner | Chiropractor | 280 Cambridge Farms Dr, Hoschton, GA 30548 | 2018-02-14 |
| 1285906263 | Loving Hearts Helping Hands Senior Homecare | Home Health | 2011 Maddox Road, Hoschton, GA 30548 | 2012-02-06 |
| 1588967376 | Pamela Ann Reagin | Massage Therapist | 4397 Hwy 53, Hoschton, GA 30548 | 2010-12-16 |
| 1144523176 | David Chandler Bell | Chiropractor | 55 Freedom Parkway, Suite 112, Hoschton, GA 30548 | 2010-12-14 |
| 1275781361 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5848 Hwy 124 West, Hoschton, GA 30548 | 2008-09-03 |
| 1972635407 | Cognitive Behavioral Health LLC | Counselor | 5415 Thompson Mill Road Ste B, Dr Devin Vicknair, Hoschton, GA 30548 | 2007-03-10 |
| 1336203454 | Robert Lee Cornett | Physical Therapist | 5415 Thompson Mill Road, Hoschton, GA 30548 | 2006-12-21 |
| 1790846426 | West Jackson Medicine Center, Inc | Durable Medical Equipment & Medical Supplies | 3845 Hwy 53, Hoschton, GA 30548 | 2006-12-13 |
| 1235140773 | Jennifer Hawk Wiley | Chiropractor | 117 Bell Avenue, Hoschton, GA 30548 | 2006-08-10 |
| Find all providers in zip 30548 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101873 | Yettel Santana Jimenez | Counselor | 4645 Wheeler Creek Dr, Hoschton, GA 30548-1646 | 2020-07-16 |
| 1609846914 | Sarah Addison | Counselor | 5415 Thompson Mill Rd, Hoschton, GA 30548-4132 | 2006-01-26 |
| 1730327495 | Sarah Addison, LLC | Counselor | 5415 Thompson Mill Rd, Hoschton, GA 30548-4132 | 2009-02-03 |
| 1902088875 | Becky H Watson | Counselor | 5415 Thompson Mill Rd, Hoschton, GA 30548-4038 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1114528957 | Takelia Hughey | Counselor | 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 | 2020-11-06 |
| 1083215685 | Peace of Mind Counseling and Therapeutic Services | Counselor | 290 Baywood Way, Hiram, GA 30141-3186 | 2020-11-02 |
| 1780284513 | Hogue Counseling and Consulting Services, LLC | Counselor | 7861 Waterlace Dr, Fairburn, GA 30213-4648 | 2020-10-30 |
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1568061331 | Justin White | Counselor | 1025 Powers Pl, Alpharetta, GA 30009-8356 | 2020-10-22 |
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
| 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.