Jennifer L Burleton, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0016183 Issued in CO

Practice address

52 Village Dr
Pagosa Springs, CO 81147-8368

Phone

(970) 264-2104

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer L Paskvan Former name

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robben R. Gingery, MD, LLC

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  • Rio Rancho, NM
  • NPI 1033527015
  Medicare reassignment NPD
• Southwest Colorado Mental Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Dove Creek, CO
  • NPI 1699301671
  NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1265541585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SUTTLE ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038276",
            "telephone_number": "970-335-2232",
            "fax_number": "970-335-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 VILLAGE DR",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478368",
            "telephone_number": "970-264-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLETON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0016183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PASKVAN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Farrington Brown, M.D.
• Amy B Brutcher, L.M.T
• Susanne F Bryant, RDN
• Julie Buchner, MD
• Emily Ann Buikema
• Tarrie Burnett-Parker, LSW
• Bykota LLC
• Sharon Rae Carter, PH.D.
• CCC Optical PC
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• Professional Counselor in Pagosa Springs, CO
• Providers in Pagosa Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.