Courtney D Burns, LPC

Individual provider Active NPI Professional Counselor · Denver, CO

NPI 1306295100 · NPPES record last updated Aug 7, 2024

Key facts

NPI
1306295100
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC.0015026 (CO)
Practice address
2130 Stout St
Denver, CO 80205-2827
Phone
(303) 293-2220
Fax
(303) 293-2309
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LPC.0015026COMDProfessional Counselor
E 0800430OHMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E 0800430 OH
Professional Counselor 101YP2500X LPC.0015026 CO Yes

Addresses

Primary practice location

2130 Stout St
Denver, CO 80205-2827

Mailing address

2111 Champa St
Denver, CO 80205-2529
Phone (303) 293-2220

Other identifiers

IdentifierTypeStateIssuer
0224407MedicaidOH

Other providers in Denver, CO

All providers in Denver, CO · Professional Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.