Individual provider Active NPI

Karisa Corley Burke, M.ED., M.A., LPC

  • Mental Health Counselor
  • Crockett, TX
National Provider Identifier
1053305151
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19494 Issued in TX
Practice address
1320 E Houston Ave
Crockett, TX 75835-1761
Phone
(936) 544-9484
Fax
(936) 544-9749
NPI assigned
Sep 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19494 TX Primary

Addresses

Primary practice location

1320 E Houston Ave
Crockett, TX 75835-1761

Mailing address

501 Mantooth Ave
Lufkin, TX 75904-3014
Phone (936) 639-4993

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 Arts, Master of Education

State licenses

LicenseStateTypeSpecialty
19494TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Crockett Counseling Center , LLC Mental Health Past Accepting new patients
Clark Psychological & Consultation PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053305151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MANTOOTH AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043014",
            "telephone_number": "936-639-4993",
            "fax_number": "936-639-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E HOUSTON AVE",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351761",
            "telephone_number": "936-544-9484",
            "fax_number": "936-544-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "KARISA",
        "middle_name": "CORLEY",
        "name_prefix": "Ms.",
        "credential": "M.ED., M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "19494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crockett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.