Jenna Maedean Burns

Primary specialty

CounselorTaxonomy code 101Y00000X

License

P1505054 Issued in AR

Practice address

25 Treebark Dr
Texarkana, AR 71854-9743

Phone

(903) 278-2477

Fax

(903) 405-4672

NPI assigned

Jan 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306177969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TREEBARK DR",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718549743",
            "telephone_number": "903-278-2477",
            "fax_number": "903-405-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 TREEBARK DR",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718549743",
            "telephone_number": "903-278-2477",
            "fax_number": "903-405-4672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727565315",
            "country_code": "US",
            "telephone_number": "479-631-9996",
            "fax_number": "479-631-1782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JENNA",
        "middle_name": "MAEDEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "P1505054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eddie Randolph Brown, DDS
• Kirsten Brown, OTD
• Lela Brown, DNP- FNP APRN
• Buckley Spine and Sport Physical Therapy, PLC
• Martin Charles Buresh, PHD
• Kathleen Nichole Burns, FNP-BC
• Mitzi Lou Burton, LPC
• Chelsey L Buttrey
• Tiffany Cagle
• Alicia Caldwell

• Counselor in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.