Individual provider Active NPI

Jasmin Rachael Burgess, M.S./ED.S.

  • Counselor
  • Hillsboro, OR
National Provider Identifier
1093161317
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
971 SW Walnut St
Hillsboro, OR 97123
Phone
(503) 640-5297
NPI assigned
May 5, 2016
Last updated
Jul 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

971 SW Walnut St
Hillsboro, OR 97123

Mailing address

1000 W Tharpe St
Suite 7
Tallahassee, FL 32303-5374
Phone (850) 561-8060

Other practice location 1

1000 W Tharpe St
Suite 7
Tallahassee, FL 32303-5374
Phone (850) 561-8060

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1093161317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W THARPE ST",
            "address_2": "SUITE 7",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035374",
            "telephone_number": "850-561-8060",
            "fax_number": "850-561-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 SW WALNUT ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "97123",
            "telephone_number": "503-640-5297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Tharpe St",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323035374",
            "country_code": "US",
            "telephone_number": "850-561-8060",
            "fax_number": "850-561-1143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "JASMIN",
        "middle_name": "RACHAEL",
        "credential": "M.S./ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.