Mr Brian Gonzalez-burke, LPC, LCAS, CRC, MTBC is a
Rehabilitation Counselor based in Winterville, North Carolina. Mr Brian Gonzalez-burke is licensed to practice in North Carolina (license number 00090419) and his current practice location is
104 W Firetower Rd, Winterville, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(252) 341-1649.
NPI number for Mr Brian Gonzalez-burke is 1316025711 and his current mailing address is 2385 Brock Ave, Winterville, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316025711.
Healthcare Provider's Profile
| Full Name | Mr Brian Gonzalez-burke |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Counselor |
|---|
| Location | 104 W Firetower Rd, Winterville, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316025711
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Brian Gonzalez-burke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316025711 | NPI | - | NPPES |
| 142HR | Other | NC | LPC |
| 6103146 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1040 (North Carolina) | Primary |
| 101YP2500X | Counselor - Professional | 5198 (North Carolina) | Primary |
| 225A00000X | Music Therapist | 06087 (North Carolina) | Primary |
| 101YM0800X | Counselor - Mental Health | 5198 (North Carolina) | Primary |
| 225C00000X | Rehabilitation Counselor | 00090419 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Brian Gonzalez-burke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Brian Gonzalez-burke, LPC, LCAS, CRC, MTBC
2385 Brock Ave,
Winterville, NC 28590-9310
Ph: (252) 341-1649 | Mr Brian Gonzalez-burke, LPC, LCAS, CRC, MTBC
104 W Firetower Rd,
Winterville, NC 28590-9475
Ph: (252) 341-1649 |
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