Jenna Rae Burns, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

90121 Issued in TX

Practice address

2017 Bluebonnet Dr
Fort Worth, TX 76111-1606

Phone

(318) 218-7057

NPI assigned

Dec 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1255043014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 BLUEBONNET DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761111606",
            "telephone_number": "318-218-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 BLUEBONNET DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761111606",
            "telephone_number": "318-218-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JENNA",
        "middle_name": "RAE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "90121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Adel Burns, FNP-C
• Ba'Leigh Elizabeth Rachel Burns, LPC-A, MS
• Chaitlin Burns
• Glenda Burns
• Heather Burns, PT, DPT
• Justin Burns, PA-C
• Rebecca Ashley Burns, M.ED. LPC
• Sarah K. Burns, CRNA
• Stephanie D Burns, PNP
• Trevor Gabriel Burns, LMSW

• Mental Health Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.