MEDICARE: KATHRYN GRUNFELDER BURCKBUCHLER M.A. IN COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH8359	FL
2	101YP2500X	Professional Counselor	1076-125	WI

General Provider Information

NPI Number	:	1275677445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN GRUNFELDER BURCKBUCHLER M.A. IN COUNSELING

Provider Business Mailing Address
First Line	:	10716 159TH CT N
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33478-6866
Country	:	US
Telephone Number	:	561-352-7022
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 SANDTREE DR STE 205
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33403-1538
Country	:	US
Telephone Number	:	561-352-7022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	09/11/2025

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