Individual provider Active NPI

Columbus Benjamin Burns III, D.MIN.

  • Counselor
  • Savannah, GA
National Provider Identifier
1407181563
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC004393 Issued in GA
Practice address
201 East 63Rd Street
Savannah, GA 31405-4226
Phone
(912) 660-4678
Fax
(912) 691-9007
NPI assigned
Oct 7, 2009
Last updated
Oct 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC004393 GA Primary

Addresses

Primary practice location

201 East 63Rd Street
Savannah, GA 31405-4226

Mailing address

201 East 63Rd Street
Savannah, GA 31405-4226
Phone (912) 660-4678

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC004393GAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1407181563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EAST 63RD STREET",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054226",
            "telephone_number": "912-660-4678",
            "fax_number": "912-691-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EAST 63RD STREET",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054226",
            "telephone_number": "912-660-4678",
            "fax_number": "912-691-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "COLUMBUS",
        "middle_name": "BENJAMIN",
        "name_suffix": "III",
        "credential": "D.MIN.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC004393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.