Katherine Burras

Key facts

NPI

1134599442

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

Practice address

415 Rutherford St
Greenville, SC 29609-5311

Phone

(864) 242-9193

NPI assigned

Sep 29, 2015

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Gateway House, Inc Community/Behavioral Health Agency · Greenville, SC · NPI 1932422078
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 29, 2015.

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1134599442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4241",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296084241",
            "telephone_number": "864-242-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 RUTHERFORD ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095311",
            "telephone_number": "864-242-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRAS",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

• Zachery Lee Burns, CRNA
• Cadyn Liam Burnside, LISW, LISW-CP
• Dazzetter Young Burnside
• Jared Robert Burr, DDS
• Rebekah Ann Burr, PHYSICIAN ASSISTANT
• Tyniko Victoria Burrison
• Ashley Phillips Burriss, NP
• Zachary Taylor Burroughs, M.D.
• Lashonda Burt-Reeder
• Robert John Burth, PHARMACIST

All providers in Greenville, SC · Mental Health Counselor in South Carolina