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MISS NICOLE DIASIO BURK
NPI 1164707030
Counselor - Mental Health in Brockton, MA

Active since October 11, 2011
1115 WEST CHESTNUT STREET, BROCKTON, MA 02301(508) 580-4691(508) 588-5751 Get Directions Write a Review

NPPES record last updated: October 11, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Miss Nicole Diasio Burk NPPES

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

MISS NICOLE DIASIO BURK (NPI 1164707030) is an individual mental health provider in Brockton, Massachusetts and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1164707030
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS NICOLE DIASIO BURK
Location Address1115 WEST CHESTNUT STREETBrockton, MA 02301
Mailing Address1115 West Chestnut StreetBrockton, MA 02301 · (508) 580-4691 · Fax (508) 588-5751
Phone(508) 580-4691
Fax(508) 588-5751
Sole ProprietorYes
Enumeration DateOctober 11, 2011
✔ NPI 1164707030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1115 WEST CHESTNUT STREET, Brockton, MA 02301
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Other Providers at the Same Location NPPES 12

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

SOUTH BAY MENTAL HEALTH CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
1115 WEST CHESTNUT STREET, SUITE 202
BROCKTON, MA 02301
Plymouth County (508) 521-2200
ALICIA KING
Counselor (Mental Health)
1115 WEST CHESTNUT STREET
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MRS. MARY MONICA TELESMANICK
Developmental Therapist
1115 WEST CHESTNUT STREET
BROCKTON, MA 02301
Plymouth County (508) 559-0473
MR. ALEX J WEINSTOCK MSW
Counselor (Mental Health)
1115 WEST CHESTNUT STREET
BROCKTON, NY 02301
Plymouth County (508) 588-5751
BARBARA ANN CLEARY-SIMONS
Behavior Analyst
1115 WEST CHESTNUT STREET, SOUTH BAY MENTAL HEALTH
BROCKTON, MA 02301
Plymouth County (508) 559-0473
DR. JACKIE MASCHER PHD
Psychologist (Counseling)
1115 WEST CHESTNUT STREET
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MRS. JULI ANN SULLIVAN
Student in an Organized Health Care Education/Training Program
1115 WEST CHESTNUT STREET
BROCKTON, MA 02301
Plymouth County (508) 580-4691
ANN MARY GRELL
Counselor (Mental Health)
1115 WEST CHESTNUT STREET
BROCKTON, MA 02301
Plymouth County (508) 580-4691

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 Burk's NPI number?

The NPI number for Nicole Burk is 1164707030. It was assigned to this individual provider in the NPPES registry on October 11, 2011.

Where is Nicole Burk located?

Nicole Burk practices at 1115 West Chestnut Street, Brockton, MA 02301. The listed phone number is (508) 580-4691.

What is Nicole Burk's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nicole Burk was last updated on October 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.