Richard Burklew III, LMHC
Counselor, Mental Health in Cocoa Beach, FL. Individual provider (NPI-1).
NPI number1306642855
StatusActive
Last updated in NPPESFeb 24, 2025
Details
- NPI
- 1306642855
- Entity type
- Individual (NPI-1)
- Name
- Richard Burklew III
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2025
- Certification date
- Feb 24, 2025
- Last updated
- Feb 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- 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 |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 23149 | FL | Yes |
Practice location
1811 S Orlando AveCocoa Beach, FL 32931-2340
Phone 321-505-1385
Mailing address
2700 Croton Rd Apt 2-51Melbourne, FL 32935-3582
Phone 321-505-1385
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Mental Health Counselor providers in Cocoa Beach · All 372 providers in Cocoa Beach
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