Organization Active NPI

Burning Bear Healing Arts LLC

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1225831753
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BURNING BEAR HEALING ARTS LLC
Practice address
668 Linwood Ave NE Apt 1
Atlanta, GA 30306-4459
Phone
(470) 363-4066
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
David Jordan
Title
Owner,
Phone
(470) 363-4066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

668 Linwood Ave NE Apt 1
Atlanta, GA 30306-4459

Mailing address

668 Linwood Ave NE Apt 1
Atlanta, GA 30306-4459

Other practice location 1

1455 Lincoln Pkwy E Ste 300
Atlanta, GA 30346-2209
Phone (470) 363-4066

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1225831753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 LINWOOD AVE NE APT 1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 LINWOOD AVE NE APT 1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064459",
            "telephone_number": "470-363-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 Lincoln Pkwy E Ste 300",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303462209",
            "country_code": "US",
            "telephone_number": "470-363-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BURNING BEAR HEALING ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER,",
        "authorized_official_telephone_number": "470-363-4066"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.