Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Georgia Knickerbocker Burkhardt

Individual provider Mental Health Counselor · NPI 1407432636

Georgia Knickerbocker Burkhardt is a Mental Health Counselor in Queensbury, New York. Qualified in 2020, 6 years ago. Practices with Behavioral Health Services North, Inc, a 68-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

25 Willowbrook Rd
Queensbury, NY 12804-5882
Phone: (518) 563-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3635 Bell Blvd Ste 203, Bayside, NY 11361-2097 — (718) 504-9256

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 013040 (NY)

Record details

NPI number1407432636
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2021
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing address25 Willowbrook Rd, Queensbury, NY 12804-5882

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Behavioral Health Services North, Inc. — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Queensbury