Jessica J Burke
Individual provider Active NPI Mental Health Counselor · Sherman, SD
NPI 1275118317 · NPPES record last updated Oct 15, 2024
Key facts
- NPI
- 1275118317
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2889 (MN)
- Practice address
- 95 Packard Ave
Sherman, SD 57030-2120 - Phone
- (605) 310-1767
- NPI assigned
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
111 W Main St
Suite 1
Pipestone, MN 56164-1994
Phone (605) 310-1767
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241122000848 | MN | Practitioner - Mental Health Counselor | 9931634375 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2889 | MN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspire Counseling Services LTD | Current |
Accepting new patients | |
| Luverne Counseling | Mental Health | Past |
Accepting new patients |
Locations
111 W Main St
Ste 1
Pipestone, MN 56164
Phone (605) 310-1767
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 2889 | MN | Yes |
Addresses
Primary practice location
95 Packard Ave
Sherman, SD 57030-2120
Mailing address
111 W Main St Ste 1
Pipestone, MN 56164-1651
Phone (951) 889-1987
Other practice location 1
111 W Main St Ste 1
Pipestone, MN 56164-1651
Phone (951) 889-1987
Other providers in Sherman, SD
All providers in Sherman, SD · Mental Health Counselor in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.