GILLIAN BURKETTE (MA) – Marriage & Family Therapist, NPI 1174015754

GILLIAN BURKETTE (MA) is a healthcare provider. based in Lake elsinore, California. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MA. The NPI Number for GILLIAN BURKETTE (MA) is 1174015754

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
GILLIAN BURKETTE (MA)
NPI
1174015754
Phone
(951) 279-3222
Address
600 CENTRAL AVE STE E1
Enumeration Date
31 May 2018
Last Update Date
31 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9513834460
Graduation Year
2005 (21 years ago)
PAC ID
2466894159
Group Practice PAC ID
0840639746
Professional Enrollment ID
I20240528000104
Address ID
CA925905610TE27349AVEX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

4,984 MARRIAGE AND FAMILY THERAPIST in CA

Provider Addresses for GILLIAN BURKETTE (MA)

  • 600 CENTRAL AVE STE E1

    LAKE ELSINORE, CA 925302740

    Phone: (951) 279-3222

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240528000104IMarriage And Family TherapistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92530)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840639746View full group profile
NameSpecialtyState
Clinical Social WorkerCA
Clinical PsychologistCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Nurse PractitionerCA
Nurse PractitionerCA
Marriage And Family TherapistCA
Clinical Social WorkerCA

Reviews

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Frequently asked questions

Can I use this page to confirm GILLIAN BURKETTE (MA)'s NPI?
Yes. GILLIAN BURKETTE (MA) is listed with NPI 1174015754 in the public NPI dataset.
Does CMS list GILLIAN BURKETTE (MA) as active?
Yes — GILLIAN BURKETTE (MA) is active in the NPI listing used on this page.
What is GILLIAN BURKETTE (MA)'s specialty?
The listing groups GILLIAN BURKETTE (MA) with Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect GILLIAN BURKETTE (MA) on a map?
Expect Lake Elsinore, California as a primary anchor for GILLIAN BURKETTE (MA) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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