James Antony Burgos, LPC NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7188 Issued in LA

Practice address

725 Lincoln Dr
Shreveport, LA 71107-3209

Phone

(318) 564-4726

NPI assigned

Jan 15, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Fallis Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1376314385
  Medicare reassignment NPD
• Heroes First Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1285484006
  NPD

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1093466567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 LINCOLN DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711073209",
            "telephone_number": "318-564-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 LINCOLN DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711073209",
            "telephone_number": "318-564-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "JAMES",
        "middle_name": "ANTONY",
        "name_prefix": "Mr.",
        "credential": "LPC NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-15",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamesburgos@att.net",
            "affiliation": "N",
            "endpointDescription": "jamesburgos@att.net",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "725 Lincoln Dr",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711073209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chanci Burden, PHARMD
• Christopher Jordan Burford, CRNA
• Aaron Joseph Burgin, MD
• Jode Jann Burgin, M.D.
• Korey Burgin, MD
• Michelle Anne Burgoyne, PA
• James Booth Burke, MD
• Suzanne M Burke, PA
• Susan Burkett, PHYSICAL THERAPIST
• Tara Michelle Burkhalter, PLPC

• Professional Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.