Kenyetta Richelle Burroughs, M.A.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

4411 Rosemont Dr
Columbus, GA 31904-5634

Phone

(706) 327-0279

Fax

(706) 327-5294

NPI assigned

Jun 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• New Horizons CSB Reach Center

  • Counselor
  • Columbus, GA
  • NPI 1609929157
  NPD (past)

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1154734648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 ROSEMONT DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045634",
            "telephone_number": "706-327-0279",
            "fax_number": "706-327-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 ROSEMONT DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045634",
            "telephone_number": "706-327-0279",
            "fax_number": "706-327-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "KENYETTA",
        "middle_name": "RICHELLE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Burns
• Sharhonda Burns
• Tamarra Burns
• Aubrianna Burrell, RBT
• Donna E Burrell, M.D.
• Karen Burrowsfield
• David Burston
• Mackenzie Burt, NP
• Sandra Burt, NP
• Eddie Burton

• Addiction (Substance Use Disorder) Counselor in Columbus, GA
• Providers in Columbus, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.