Individual provider Active NPI

Jamie PK Buchhorn, MED, LPC

  • Professional Counselor
  • Adkins, TX
National Provider Identifier
1033700240
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
60123 Issued in TX
Practice address
1859 Burr Oak LN
Adkins, TX 78101-2606
Phone
(866) 748-2305
Fax
(866) 748-2534
NPI assigned
Jan 30, 2021
Last updated
Jan 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 60123 TX Primary

Addresses

Primary practice location

1859 Burr Oak LN
Adkins, TX 78101-2606

Mailing address

1859 Burr Oak LN
Adkins, TX 78101-2606
Phone (866) 748-2305

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL THERANEST.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
60123TXMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1033700240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 BURR OAK LN",
            "city": "ADKINS",
            "state": "TX",
            "postal_code": "781012606",
            "telephone_number": "866-748-2305",
            "fax_number": "866-748-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 BURR OAK LN",
            "city": "ADKINS",
            "state": "TX",
            "postal_code": "781012606",
            "telephone_number": "866-748-2305",
            "fax_number": "866-748-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHORN",
        "first_name": "JAMIE",
        "middle_name": "PK",
        "credential": "MED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "THERANEST.COM",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 20th St N Ste 500",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352034013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Adkins, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.