DONNA MARIE BURKHOLDER
NPI 1205317740
Counselor in Moraine, OH

Q: What is Donna Burkholder's NPI number?

The NPI number for Donna Burkholder is 1205317740. It was assigned to this individual provider in the NPPES registry on August 23, 2018. The provider is also known as Donna Marie Graham.

Q: What is Donna Burkholder's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Donna Burkholder was last updated on November 6, 2019. 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.

Active since August 23, 2018PECOS EnrolledAccepts Medicare Assignment

3095 KETTERING BLVD, MORAINE, OH 45439(937) 293-8300 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2019, Aug 23, 2018 (2 updates tracked since 2018).

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About Donna Marie Burkholder NPPES

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

DONNA MARIE BURKHOLDER (NPI 1205317740) is an individual counselor in Moraine, Ohio and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205317740

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameDONNA MARIE BURKHOLDER

Location Address3095 KETTERING BLVDMoraine, OH 45439-1983

Mailing Address8014 Washington Park DrDayton, OH 45459-3653 · (937) 216-2899

Phone(937) 293-8300

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 23, 2018

Last NPPES UpdateNovember 6, 20192 updates tracked since enumeration

✔ NPI 1205317740 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.

3095 KETTERING BLVD, Moraine, OH 45439

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Other Names 1

Former Name (1)Donna Marie Graham

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

Donna Marie Burkholder 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.

PECOS PAC ID2668906587

PECOS Enrollment IDI20241114000312

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.

Other Providers at the Same Location NPPES 20

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

ELISSA NICHOLE HOSTETTER

Social Worker