Nicole Burden Counseling LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Oak Creek, WI. Organization (NPI-2).
NPI number1033936554
StatusActive
Last updated in NPPESOct 10, 2024
Details
- NPI
- 1033936554
- Entity type
- Organization (NPI-2)
- Legal business name
- Nicole Burden Counseling LLC
- Organization subpart
- No
- Enumeration date
- Sep 25, 2024
- Certification date
- Oct 10, 2024
- Last updated
- Oct 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – |
Practice location
8045 S Mona DrOak Creek, WI 53154-3033
Phone 414-840-1583
Mailing address
8045 S Mona DrOak Creek, WI 53154-3033
Phone 414-840-1583
Authorized official
Nicole E Burden
Licensed Professional Counselor
4148401583
Is something wrong?
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