IndividualActive
Nicole Burgess
NPI 1164057402 · Counselor · San Jose, CA
Provider details
- NPI number
- 1164057402
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2625 Zanker Rd Ste 101
San Jose, CA 95134-2130
Phone: (408) 325-5211
Street-level locationGet directions
Mailing address
500 El Camino Real
Santa Clara, CA 95053-1000
Registry dates
- Enumerated
- 2020-03-06
- Last updated
- 2020-03-06
- Certified
- 2020-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.