Individual provider Active NPI

Juliann Ruth Burks, LMFT

  • Marriage & Family Therapist
  • Johnson City, TN
National Provider Identifier
1083951271
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1623 Issued in NC
Practice address
214 E Mountcastle Dr Ste 1
Johnson City, TN 37601-2509
Phone
(423) 283-4958
Fax
(423) 283-3715
NPI assigned
Jan 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 101Y00000X NC
Marriage & Family Therapist 106H00000X 1623 NC Primary

Addresses

Primary practice location

214 E Mountcastle Dr Ste 1
Johnson City, TN 37601-2509

Mailing address

284 Executive Park Dr
Suite 100
Concord, NC 28025
Phone (704) 939-1100

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

State licenses

LicenseStateTypeSpecialty
101Y00000XNCMDCounselor
1623NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Juliann Burks LMFT Marriage & Family Therapist CurrentSince Feb 13, 2022 Accepting new patients
Neurobehavioral Associates CurrentSince Apr 21, 2020 Accepting new patients

Locations

214 E Mountcastle Dr
Ste 1
Johnson City, TN 37601
Phone (423) 283-4958

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": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1083951271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR",
            "address_2": "SUITE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28025",
            "telephone_number": "704-939-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E MOUNTCASTLE DR STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012509",
            "telephone_number": "423-283-4958",
            "fax_number": "423-283-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "JULIANN",
        "middle_name": "RUTH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "101Y00000X",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.