Individual provider Active NPI

Jazmin L Burns, PSYD

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1164872289
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39238 Issued in TX
Practice address
6222 W Ih 10 Ste 200
San Antonio, TX 78201-2015
Phone
(210) 447-0039
NPI assigned
Jun 20, 2016
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 39238 TX Primary

Addresses

Primary practice location

6222 W Ih 10 Ste 200
San Antonio, TX 78201-2015

Mailing address

6222 W Ih 10 Ste 200
San Antonio, TX 78201-2015
Phone (210) 447-0039

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
I20220307001334 TX Practitioner - Clinical Psychologist 8921492091 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39238TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Burns Virtual Psychological Solutions PC Psychologist Current Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Jun 16, 2025 Accepting new patients
Bluebonnet Trails Community MHMR Center Psychologist CurrentSince Jun 16, 2025 Accepting new patients
My Health My Resources of Tarrant County CurrentSince May 7, 2025 Accepting new patients
Lifeworks Services, LLC Past Accepting new patients
Bridges of the Mind Psychological Services, Inc. Psychologist PastSince Feb 2, 2020 Accepting new patients

Locations

3840 Hulen St
Ft Worth, TX 76107
Phone (817) 569-4395

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

9110 N Loop 1604 W
Ste 104
San Antonio, TX 78249
Phone (210) 596-9068

Organizations & group practices 6

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1164872289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 W IH 10 STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012015",
            "telephone_number": "210-447-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 W IH 10 STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012015",
            "telephone_number": "210-447-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JAZMIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.