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NPISignal

Individual Healthcare Provider

Stacy Burdick, DM- BCC (2054) RBAI

NPI Record: ActiveCounselor — Pastoral
NPI1780399808
Salem, Oregon

Provider's NPPES record last updated: July 20, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1780399808
Primary Specialty
Counselor — Pastoral
Practice Location
Salem, Oregon
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 12:04 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Counselor

    Pastoral

    Behavioral Health & Social Service Providers

    Primary

    Definition to come...

    Taxonomy code 101YP1600X
  • Religious Nonmedical Practitioner

    Nursing Service Related Providers

    A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.

    Taxonomy code 374K00000X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X
  • Behavior Technician

    Behavioral Health & Social Service Providers

    The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

    Taxonomy code 106S00000X

Provider-Reported License Information

Religious Nonmedical Practitioner (Florida)
2054
Student in an Organized Health Care Education/Training Program (Oregon)
ABA-IN-10254263
Behavior Technician (Oregon)
ABA-IN-10254263
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1230 Westwood Dr Nw

Salem, Oregon 97304-3749

Phone: (971) 208-4663

Record Information

Enumeration Date
January 23, 2023
Provider's NPPES Record Last Updated
July 20, 2026
Certification Date
July 20, 2026
NPISignal NPPES Dataset
August 2026

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