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MICHAEL KEITH BURNSIDE LPC, LADC
NPI 1194739334
Counselor - Professional in Okmulgee, OK

Active since July 27, 2006PECOS Enrolled
100 W 7TH ST STE 102, OKMULGEE, OK 74447(918) 758-1910(918) 756-1270 Get Directions Write a Review

NPPES record last updated: March 13, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Keith Burnside Lpc, Ladc NPPES

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

MICHAEL KEITH BURNSIDE LPC, LADC (NPI 1194739334) is an individual professional provider in Okmulgee, Oklahoma, licensed in Oklahoma (2650) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194739334
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL KEITH BURNSIDECredential: LPC, LADC
Location Address100 W 7TH ST STE 102Okmulgee, OK 74447-5007
Mailing Address720 S 5th StMorris, OK 74445-2224 · (918) 733-4603
Phone(918) 758-1910
Fax(918) 756-1270
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateMarch 13, 2009
✔ NPI 1194739334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OK · 2650
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 553 (OK)
100 W 7TH ST STE 102, Okmulgee, OK 74447
Open in Google Maps ↗

Other Identifiers 1

Other300522336OK · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Keith Burnside Lpc, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Burnside reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Central Oklahoma Family Health Center, Inc.
11 mi
Federally Qualified Health Center (FQHC)
104 E SHURDEN INDUSTRIAL BLVD
Henryetta, OK 74437
  • Reassigned Medicare billing, Oklahoma enrollment
  • 10 clinicians in this Medicare group
NPI 1881943389 (918) 652-9614

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. THOMASINE L. FIFE LADC
Counselor (Addiction (Substance Use Disorder))
100 W 7TH ST STE 102
OKMULGEE, OK 74447
Okmulgee County (918) 758-1930
DR. BRUCE R HODSON PH.D.
Psychologist
100 W 7TH ST STE 102
OKMULGEE, OK 74447
Okmulgee County (918) 758-1910
MIRANDA CARMAN
Social Worker (Clinical)
100 W 7TH ST STE 102
OKMULGEE, OK 74447
Okmulgee County (918) 758-1910

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 Michael Burnside's NPI number?

The NPI number for Michael Burnside is 1194739334. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Michael Burnside located?

Michael Burnside practices at 100 W 7th St Ste 102, Okmulgee, OK 74447. The listed phone number is (918) 758-1910.

What is Michael Burnside's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Michael Burnside enrolled in Medicare?

Yes. Michael Burnside is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Burnside's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Burnside reassigns Medicare benefits to East Central Oklahoma Family Health Center, Inc. (Henryetta, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Burnside's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Burnside accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Michael Burnside 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 Michael Burnside was last updated on March 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.