Mike Vincent Burckhard, LICSW
NPI 1104814789ActiveIndividual· Counselor, Mental Health· Minot, ND
Counselor, Mental Health (LICSW) in Minot, North Dakota, licensed in ND, with an NPI issued in October 2005. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1104814789 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Oct 8, 2005 |
| Last updated in NPPES | Nov 18, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 120 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (ND) |
|---|
Education and affiliations
| Graduation year | 1987 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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