Healthcare Provider Details

I. General information

NPI: 1841983186
Provider Name (Legal Business Name): DANIKA BURKETT LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2023
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S 2ND ST STE 220
BISMARCK ND
58504-5729
US

IV. Provider business mailing address

1202 28TH ST S
FARGO ND
58103-8700
US

V. Phone/Fax

Practice location:
  • Phone: 701-224-9611
  • Fax:
Mailing address:
  • Phone: 701-280-9545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number1290-6-1-23-647
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number1290-6-1-23-647
License Number StateND
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1290-6-1-23-647
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: