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CONNOR BURGESS
NPI 1861008104
Counselor in Seattle, WA

Active since September 22, 2020PECOS Enrolled
5213 COLUMBIA DR S, SEATTLE, WA 98108(303) 898-9907 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2026, Sep 14, 2021, Sep 22, 2020 (3 updates tracked since 2020).

About Connor Burgess NPPES

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

CONNOR BURGESS (NPI 1861008104) is an individual counselor in Seattle, Washington and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861008104
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameCONNOR BURGESS
Location Address5213 COLUMBIA DR SSeattle, WA 98108-1923
Mailing Address5213 Columbia Dr SSeattle, WA 98108-1923 · (303) 898-9907
Phone(303) 898-9907
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 22, 2020
Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1861008104 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.
5213 COLUMBIA DR S, Seattle, WA 98108
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor Burgess is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315420387
PECOS Enrollment IDI20260309002938
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.

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 Connor Burgess's NPI number?

The NPI number for Connor Burgess is 1861008104. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Connor Burgess located?

Connor Burgess practices at 5213 Columbia Dr S, Seattle, WA 98108. The listed phone number is (303) 898-9907.

What is Connor Burgess's specialty?

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

Is Connor Burgess enrolled in Medicare?

Yes. Connor Burgess is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Burgess was last updated on March 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.