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NICOLE BURGESS
NPI 1164057402
Counselor in San Jose, CA

Active since March 06, 2020
2625 ZANKER RD STE 101, SAN JOSE, CA 95134(408) 325-5211 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Burgess NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE BURGESS (NPI 1164057402) is an individual counselor in San Jose, California and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1164057402
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameNICOLE BURGESS
Location Address2625 ZANKER RD STE 101San Jose, CA 95134-2130
Mailing Address500 El Camino RealSanta Clara, CA 95053-1000
Phone(408) 325-5211
Sole ProprietorNo
Enumeration DateMarch 6, 2020
NPPES CertifiedMarch 6, 2020
✔ NPI 1164057402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2625 ZANKER RD STE 101, San Jose, CA 95134
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DARREN FOLK LCSW
Social Worker (Clinical)
2625 ZANKER RD STE 101
SAN JOSE, CA 95134
Santa Clara County (408) 309-3917
KHANH HOA NGUYEN
Counselor (Mental Health)
2625 ZANKER RD STE 101, SUITE 200
SAN JOSE, CA 95134
Santa Clara County (408) 325-5287
ANYANI PARTIDA
Social Worker
2625 ZANKER RD STE 101
SAN JOSE, CA 95134
Santa Clara County (408) 325-5285

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 Nicole Burgess's NPI number?

The NPI number for Nicole Burgess is 1164057402. It was assigned to this individual provider in the NPPES registry on March 6, 2020.

Where is Nicole Burgess located?

Nicole Burgess practices at 2625 Zanker Rd Ste 101, San Jose, CA 95134. The listed phone number is (408) 325-5211.

What is Nicole Burgess's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Nicole Burgess was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.