Active NPI
Kim Felita Burson, LPC
- Professional Counselor
- Alexandria, VA
National Provider Identifier
1265597181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002577
- Practice address
- 720 N Saint Asaph St
Alexandria, VA 22314-1912 - Phone
- (703) 838-4455
- Fax
- (703) 838-5070
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701002577 | VA | Primary |
| Professional Counselor | 101YP2500X | LC0137 | MD |
Addresses
Primary practice location
720 N Saint Asaph St
Alexandria, VA 22314-1912
Mailing address
16410 Ellipse Ter
Bowie, MD 20716-3262
Phone (301) 809-6009
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105 | Other | VA | CAREFIRST BCBS |
| 299085 | Other | VA | AMERIGROUP VIRGINIA, INC. |
| 188620 | Other | VA | ANTHEM |
| 5460011003002 | Other | VA | TRICARE |
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 |
|---|---|---|---|
| LC0137 | MD | MD | Professional Counselor |
| 0701002577 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1265597181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16410 ELLIPSE TER",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163262",
"telephone_number": "301-809-6009",
"fax_number": "301-809-2178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 N SAINT ASAPH ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223141912",
"telephone_number": "703-838-4455",
"fax_number": "703-838-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURSON",
"first_name": "KIM",
"middle_name": "FELITA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002577",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC0137",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "0105",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP VIRGINIA, INC.",
"identifier": "299085",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "188620",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "5460011003002",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.