GEORGIA KNICKERBOCKER BURKHARDT
NPI 1407432636
Counselor - Mental Health in Queensbury, NY

Q: What is Georgia Burkhardt's NPI number?

The NPI number for Georgia Burkhardt is 1407432636. It was assigned to this individual provider in the NPPES registry on March 18, 2021.

Q: What is Georgia Burkhardt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Georgia Burkhardt was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 March 18, 2021PECOS EnrolledAccepts Medicare Assignment

25 WILLOWBROOK RD, QUEENSBURY, NY 12804(518) 563-8000 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Georgia Knickerbocker Burkhardt NPPES

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

GEORGIA KNICKERBOCKER BURKHARDT (NPI 1407432636) is an individual mental health provider in Queensbury, New York, licensed in New York (013040) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407432636

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameGEORGIA KNICKERBOCKER BURKHARDT

Location Address25 WILLOWBROOK RDQueensbury, NY 12804-5882

Mailing Address25 Willowbrook RdQueensbury, NY 12804-5882 · (518) 563-8000

Phone(518) 563-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 18, 2021

Last NPPES UpdateAugust 25, 2025

NPPES CertifiedAugust 25, 2025

✔ NPI 1407432636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 013040

25 WILLOWBROOK RD, Queensbury, NY 12804

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Other Identifiers 1

OtherP108244NY · Limited Permit

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

Georgia Knickerbocker Burkhardt 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 ID6406291566

PECOS Enrollment IDI20240228002024

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

102 services18 patients

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.

COURTNEY PAIGE BRIMMER

Social Worker (Clinical)