Deanne Burke
Individual provider Active NPI Professional Counselor · Jenison, MI
NPI 1245092006 · NPPES record last updated Jan 26, 2024
Key facts
- NPI
- 1245092006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6451023072 (MI)
- Practice address
- 1346 Baldwin St
Jenison, MI 49428-8937 - Phone
- (616) 765-8585
- NPI assigned
- Jan 26, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451023072 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tahoma Enterprises LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6451023072 | MI | Yes |
Addresses
Primary practice location
1346 Baldwin St
Jenison, MI 49428-8937
Mailing address
269 Crestview Blvd
Commerce TWP, MI 48390-3937
Phone (248) 207-6922
Other names
- Deanne Pratt
Other providers in Jenison, MI
- Karlyn Brown
- Bruce a Seitz DDS PC
- Hope Lynn Brucki-Markoski
- Mark A Brunner
- Molly Buist
- Kendra Burmeister
- Erik Byl
- Carol Byrne
- Lauren Bianca Calhoun
- Allison Julia Canter
All providers in Jenison, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.