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STACHA N BURGESS
NPI 1265784037
Counselor in Goose Creek, SC

Active since October 04, 2012
108 CENTRAL AVE STE 3, GOOSE CREEK, SC 29445(843) 789-4464(843) 970-2411 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Stacha N Burgess NPPES

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

STACHA N BURGESS (NPI 1265784037) is an individual counselor in Goose Creek, South Carolina, licensed in South Carolina (6073) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1265784037
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSTACHA N BURGESS
Location Address108 CENTRAL AVE STE 3Goose Creek, SC 29445-3079
Mailing Address108 Central Ave Ste 3Goose Creek, SC 29445-3079 · (843) 789-4464 · Fax (843) 970-2411
Phone(843) 789-4464
Fax(843) 970-2411
Sole ProprietorYes
Enumeration DateOctober 4, 2012
Last NPPES UpdateJune 15, 2016
✔ NPI 1265784037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in SC · 6073
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPCI-5514 (SC)
108 CENTRAL AVE STE 3, Goose Creek, SC 29445
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Other Identifiers 2

Medicaid1265784037SC
Medicaid1760596480SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare and more.Insurance ›

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 Stacha Burgess's NPI number?

The NPI number for Stacha Burgess is 1265784037. It was assigned to this individual provider in the NPPES registry on October 4, 2012.

Where is Stacha Burgess located?

Stacha Burgess practices at 108 Central Ave Ste 3, Goose Creek, SC 29445. The listed phone number is (843) 789-4464.

What is Stacha Burgess's specialty?

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

What insurance does Stacha Burgess accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare and UnitedHealthcare list Stacha Burgess 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 Stacha Burgess was last updated on June 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.