JEFFRY BURGDORFER LPC
NPI 1689110892
Counselor - Professional in Greenville, SC

NPI Status: Active since January 11, 2017

Contact Information

68 POINTE CIR STE 3201
GREENVILLE, SC
ZIP 29615
Phone: (864) 301-6458

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  • Individual
  • Male
  • Years of Experience 11
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JEFFRY BURGDORFER

This page provides the complete NPI Profile along with additional information for Jeffry Burgdorfer, a provider established in Greenville, South Carolina with a medical specialization in Counselor, focusing in professional and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1689110892 assigned on January 2017. The practitioner's primary taxonomy code is 101YP2500X with license number 7521 (SC). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1689110892
Provider Name
JEFFRY BURGDORFER LPC
Gender
Male
Entity Type
Individual
Location Address
68 POINTE CIR STE 3201 GREENVILLE, SC 29615
Location Phone
(864) 301-6458
Mailing Address
68 POINTE CIR STE 3201 GREENVILLE, SC 29615
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
01-11-2017
Last Update Date
01-17-2024
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Location Map

Secondary Locations

  • 54 E Ramsdell St
    New Haven, CT 06515
    (203) 337-9943

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
7521
License State
SC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

3111 (CT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Catastrophic 1 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 39 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO
  • BlueExtend PPO HD Bronze 1 - PPO
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 12 - HMO
  • Gold 8 - HMO
  • Gold 8 with Rx Copay - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 1 with Rx Copay and Adult Vision Services - HMO
  • Silver 12 - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value - HMO
  • UHC Gold Advantage - HMO
  • UHC Gold Advantage+ (Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded - HMO
  • UHC Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
008023170MEDICAID (05)CT 
008024427MEDICAID (05)CT 
008039745MEDICAID (05)CT 
008070148MEDICAID (05)CT 

Medicare Participation & PECOS Enrollment Status

Jeffry Burgdorfer is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jeffry Burgdorfer is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3173960259

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240325003099

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for JEFFRY BURGDORFER LPC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689110892
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26169210818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 2 + 1 + 0 + 8 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1689110892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134630130 LAURA VIRGINIA REFFNER MA
Individual
Counselor (Mental Health)68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(864) 952-4048
1326559329REFFNER ENTERPRISES
Organization
Occupational Therapist (Mental Health)68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(864) 952-4048
1194298562 KRISTA MARTIN LISW-CP
Individual
Social Worker (Clinical)68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(864) 952-4048
1386737153MR. JOSEPH FRANK KORZELIUS LPC
Individual
Counselor (Professional)68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(864) 952-4048
1700454253 KRISTIE VERA
Individual
Counselor68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(855) 284-7483
1902573223 STEPHEN DAVID TUTTLE
Individual
Counselor (Professional)68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(855) 284-7483
1013687797 PHYLLIS KATHLEEN AZZARITO
Individual
Counselor (Professional)68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(855) 284-7483
1649932047 MARIA CAMILA GIRALDO
Individual
Social Worker (Clinical)68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(855) 284-7483
1942947494 KATHRYN HOPE
Individual
Psychologist68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(855) 284-7483
1689387615 AUSTIN CAMPBELL FAULK
Individual
Counselor (Professional)68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(855) 284-7483
1215469101 RACHEL GLENN BOREM LPC
Individual
Counselor (Professional)68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(855) 284-7483
1215505771 HANNAH MAKANT JEANFREAU
Individual
Counselor (Professional)68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(864) 952-4048
1578224234 GABRI MICHELLE BENSON LPC
Individual
Counselor (Professional)68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(855) 284-7483
1467020180 SAMER SAYED
Individual
Social Worker68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(864) 371-0852
1841062635 KATHLEEN HORN
Individual
Social Worker (Clinical)68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(855) 284-7483
1073104071MRS. SHEKINA K ADAMS LPCC
Individual
Counselor (Professional)68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(818) 241-6780
1033882691 AMANDA JOY BENTLEY NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(803) 403-0294
1376138529 MATTHEW STYLES LEAZER LPC
Individual
Counselor (Professional)68 POINTE CIR STE 3201
GREENVILLE, SC 29615
(803) 403-0294

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689110892, enumerated in the NPI registry as an "individual" on January 11, 2017

The provider is located at 68 Pointe Cir Ste 3201 Greenville, Sc 29615 and the phone number is (864) 301-6458

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider has more than 11 years of experience.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on January 11, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.