Individual provider Active NPI

Jasmine Deaundra Burns

  • Mental Health Counselor
  • North Charleston, SC
National Provider Identifier
1245041102
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10222 Issued in SC
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

Updated by the provider on Jan 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
10222SCMDSocial 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.

Verify at the official NPI Registry.