Individual provider Active NPI

Leanette Marie Burns, LCDC, LPC-INTERN

  • Addiction (Substance Use Disorder) Counselor
  • Willis, TX
National Provider Identifier
1114556818
Registry record updated Apr 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
14646 Issued in TX
Practice address
101 Laurie LN
Willis, TX 77378-8608
Phone
(402) 415-8702
NPI assigned
Apr 4, 2020
Last updated
Apr 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14646 TX Primary

Addresses

Primary practice location

101 Laurie LN
Willis, TX 77378-8608

Mailing address

101 Laurie LN
Willis, TX 77378-8608
Phone (402) 415-8702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207000258 TX Practitioner - Mental Health Counselor 0749639482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

4400 N Midland Dr
Suite 2910
Midland, TX 79707-3385
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14646TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients
Brightside Medical, P.C. Past Accepting new patients

Locations

1412 W Magnolia Ave
Ste 210
Fort Worth, TX 76104
Phone (855) 914-5753

1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050

4903 82nd St
Ste 60
Lubbock, TX 79424
Phone (806) 507-6934

4400 N Midland Dr
Ste 2910
Midland, TX 79707
Phone (432) 400-5026

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585958400000",
    "number": "1114556818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAURIE LN",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773788608",
            "telephone_number": "402-415-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAURIE LN",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773788608",
            "telephone_number": "402-415-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "LEANETTE",
        "middle_name": "MARIE",
        "credential": "LCDC, LPC-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willis, TX

Sources for this page

Verify at the official NPI Registry.