Individual provider Active NPI

Daniel Wayne Burks, LMFT

  • Marriage & Family Therapist
  • Johnson City, TN
National Provider Identifier
1447905203
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1998 Issued in TN
Practice address
214 E Mountcastle Dr Ste 1
Johnson City, TN 37601-2509
Phone
(502) 727-6550
NPI assigned
Feb 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1998 TN Primary

Addresses

Primary practice location

214 E Mountcastle Dr Ste 1
Johnson City, TN 37601-2509

Mailing address

214 E Mountcastle Dr Ste 1
Johnson City, TN 37601-2509
Phone (423) 283-4958

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
1998TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobehavioral Associates CurrentSince Feb 27, 2022 Accepting new patients
Juliann Burks LMFT Marriage & Family Therapist CurrentSince Feb 27, 2022 Accepting new patients

Locations

214 E Mountcastle Dr
Ste 1
Johnson City, TN 37601
Phone (423) 283-4958

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.

NPI Registry JSON

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1447905203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E MOUNTCASTLE DR STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012509",
            "telephone_number": "423-283-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E MOUNTCASTLE DR STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012509",
            "telephone_number": "502-727-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "DANIEL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-19",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.