Active NPI
Jasmine Deaundra Burns
- Mental Health Counselor
- North Charleston, SC
National Provider Identifier
1245041102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10222
- Practice address
- 3255 Landmark Dr Ste 206
North Charleston, SC 29418-8573 - Phone
- (843) 964-8007
- NPI assigned
- Jan 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10222 | SC | Primary |
Addresses
Primary practice location
3255 Landmark Dr Ste 206
North Charleston, SC 29418-8573
Mailing address
407 Thoroughbred Dr
Moncks Corner, SC 29461-6891
Phone (843) 312-4725
Other practice location 1
407 Thoroughbred Dr
Moncks Corner, SC 29461-6891
Phone (843) 312-4725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10222 | SC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737158400000",
"number": "1245041102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 THOROUGHBRED DR",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294616891",
"telephone_number": "843-312-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3255 LANDMARK DR STE 206",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294188573",
"telephone_number": "843-964-8007"
}
],
"practiceLocations": [
{
"address_1": "407 Thoroughbred Dr",
"address_purpose": "LOCATION",
"city": "Moncks Corner",
"state": "SC",
"postal_code": "294616891",
"country_code": "US",
"telephone_number": "843-312-4725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNS",
"first_name": "JASMINE",
"middle_name": "DEAUNDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-18",
"last_updated": "2025-01-18",
"certification_date": "2025-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "10222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.