Active NPI
Kennedie Burston, MA, LPCC
- Professional Counselor
- Westerville, OH
National Provider Identifier
1316618366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2404689
- Practice address
- 450 Alkyre Run Ste 250
Westerville, OH 43082-6076 - Phone
- (614) 705-2585
- NPI assigned
- Sep 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | E.2404689 | OH | Primary |
Addresses
Primary practice location
450 Alkyre Run Ste 250
Westerville, OH 43082-6076
Mailing address
450 Alkyre Run Ste 250
Westerville, OH 43082-6076
Phone (614) 705-2585
Other practice location 1
1100 Beecher Xing N Ste D
Columbus, OH 43230-4565
Phone (614) 656-7025
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.2404689 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olakino Inc. | Mental Health | Current | Accepting new patients |
| Open Arms Counseling, LLC | Past | Accepting new patients |
Locations
450 Alkyre Run
Ste 250
Westerville, OH 43082
Phone (614) 354-4822
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Westerville, OH
- NPI 1942910104
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1639596224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1316618366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 ALKYRE RUN STE 250",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430826076",
"telephone_number": "614-705-2585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 ALKYRE RUN STE 250",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430826076",
"telephone_number": "614-705-2585"
}
],
"practiceLocations": [
{
"address_1": "1100 Beecher Xing N Ste D",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432304565",
"country_code": "US",
"telephone_number": "614-656-7025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURSTON",
"first_name": "KENNEDIE",
"credential": "MA, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-21",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2404689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.