MR. MIKE VINCENT BURCKHARD LICSW
NPI 1104814789
Counselor - Mental Health in Minot, ND
About Mr. Mike Vincent Burckhard Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MIKE VINCENT BURCKHARD LICSW (NPI 1104814789) is an individual mental health provider in Minot, North Dakota, licensed in North Dakota (120) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Mike Vincent Burckhard Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINOT, ND 58701
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mike Burckhard's NPI number?
The NPI number for Mike Burckhard is 1104814789. It was assigned to this individual provider in the NPPES registry on October 8, 2005.
Where is Mike Burckhard located?
Mike Burckhard practices at 315 Main St S Suite 315, Minot, ND 58701. The listed phone number is (701) 852-5876.
What is Mike Burckhard's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mike Burckhard enrolled in Medicare?
Yes. Mike Burckhard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Mike Burckhard accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Mike Burckhard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mike Burckhard was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Mike Vincent Burckhard, LICSW · NPI 1104814789
Mental Health provider in Minot, North Dakota. Individual provider, active in the CMS NPPES registry since October 8, 2005.
## Identity
- **NPI:** 1104814789 (Entity type: Individual)
- **Enumerated:** October 8, 2005
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 120 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 315 MAIN ST S, SUITE 315, Minot, ND 58701-3956
- **Phone:** (701) 852-5876 · **Fax:** (701) 852-5883
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** November 18, 2014
- **Other identifiers:** Other 17415 (ND); Medicaid 19118 (ND); Medicare PIN 17415 (ND)
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Source: [NPI Profile](https://npiprofile.com/npi/1104814789) · Data from the CMS NPPES public registry.