NICHOLE BURGESS
NPI 1265838866
Counselor - Professional in Bel Air, MD

Active since November 08, 2014PECOS EnrolledAccepts Medicare Assignment
1212 E CHURCHVILLE RD STE 301, BEL AIR, MD 21014(443) 640-4913 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nichole Burgess NPPES

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

NICHOLE BURGESS (NPI 1265838866) is an individual professional provider in Bel Air, Maryland, licensed in Maryland (LC9510) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1265838866
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICHOLE BURGESS
Location Address1212 E CHURCHVILLE RD STE 301Bel Air, MD 21014-3482
Mailing Address21299 Dunk Freeland RdParkton, MD 21120-9270 · (443) 465-8994
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 8, 2014
Last NPPES UpdateJuly 19, 2024
NPPES CertifiedJuly 19, 2024
NPI 1265838866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LC9510
1212 E CHURCHVILLE RD STE 301, Bel Air, MD 21014

Accepted Insurance

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

Nichole Burgess 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 ID6002353646
PECOS Enrollment IDI20240801000371
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

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

Marriage & Family Therapist
1212 E CHURCHVILLE RD STE 301
BEL AIR, MD 21014

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 Nichole Burgess's NPI number?

The NPI number for Nichole Burgess is 1265838866. It was assigned to this individual provider in the NPPES registry on November 8, 2014.

Where is Nichole Burgess located?

Nichole Burgess practices at 1212 E Churchville Rd Ste 301, Bel Air, MD 21014. The listed phone number is (443) 640-4913.

What is Nichole Burgess's specialty?

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

Is Nichole Burgess enrolled in Medicare?

Yes. Nichole Burgess is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nichole Burgess accept?

Health plans from Providence Health Plan list Nichole 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 Nichole Burgess was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.