Jeffrey A Burgess, LPC
Individual provider Active NPI Mental Health Counselor · Lawrence, KS
NPI 1346900842 · NPPES record last updated Dec 23, 2021
Key facts
- NPI
- 1346900842
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 3746 (KS)
- Practice address
- 1031 Vermont St Ste 150
Lawrence, KS 66044-3196 - Phone
- (785) 218-0578
- NPI assigned
- Dec 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3746 | KS | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3746 | KS | Yes |
Addresses
Primary practice location
1031 Vermont St Ste 150
Lawrence, KS 66044-3196
Mailing address
1031 Vermont St Ste 150
Lawrence, KS 66044-3196
Phone (785) 550-7632
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3746 | Other | KS | LICENSE |
Other providers in Lawrence, KS
- Janelle Bugg
- David Willett Bullock
- Betty Louise Bunce
- Jill S Burgen
- Brittany Burgess
- Brittany Burkett
- Savannah Burks
- Dieadra Burmingham
- Anna Burnett
- Sally Burns
All providers in Lawrence, KS · Mental Health Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.