Alexander Burback
Counselor, Mental Health in Woodbury, MN. Individual provider (NPI-1).
NPI number1962028316
StatusActive
Last updated in NPPESJun 22, 2020
Details
- NPI
- 1962028316
- Entity type
- Individual (NPI-1)
- Name
- Mr. Alexander Burback
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2020
- Certification date
- Jun 22, 2020
- Last updated
- Jun 22, 2020
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 |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
700 Commerce Dr Ste 290Woodbury, MN 55125-9256
Phone 651-344-0820
Mailing address
213 Sherburne St NStillwater, MN 55082-4726
Phone 651-283-4170
Is something wrong?
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 68 Mental Health Counselor providers in Woodbury · All 3,087 providers in Woodbury
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