Jeremy Burden, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

924 Issued in KS

Practice address

4155 E Harry St
Wichita, KS 67218-3725

Phone

(800) 423-1342

Fax

(785) 628-3113

NPI assigned

Sep 30, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health America of South Central Kansas, Inc.Group PAC ID 1153400197, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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 America of South Central Kansas, Inc.

  • Community/Behavioral Health Agency
  • Wichita, KS
  • NPI 1689710568

  KS

  Medicare reassignment Care Compare group NPD
• Saint Francis Community and Residential Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salina, KS
  • NPI 1245351527

  Marriage & Family Therapist

  NPD (past)
• Saint Francis Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salina, KS
  • NPI 1063574499

  Marriage & Family Therapist

  NPD (past)
• Saint Francis Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salina, KS
  • NPI 1144341694

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1467736009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E ELM ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012353",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183725",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 W 8th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Junction City",
            "state": "KS",
            "postal_code": "664412281",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 E 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668013321",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 J C St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678466345",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676011916",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "KS",
            "postal_code": "675011345",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Southwind Pl",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665033123",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1421 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "KS",
            "postal_code": "671524736",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Jones St",
            "address_purpose": "LOCATION",
            "city": "El Dorado",
            "state": "KS",
            "postal_code": "670421469",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2008 11th St",
            "address_purpose": "LOCATION",
            "city": "Great Bend",
            "state": "KS",
            "postal_code": "675304419",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 SE 10th St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "KS",
            "postal_code": "671144409",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Colby",
            "state": "KS",
            "postal_code": "677012313",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "904 Broadway",
            "address_purpose": "LOCATION",
            "city": "Concordia",
            "state": "KS",
            "postal_code": "669013502",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 Avenue P Ste B",
            "address_purpose": "LOCATION",
            "city": "Dodge City",
            "state": "KS",
            "postal_code": "678017012",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2140 N Kansas Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Liberal",
            "state": "KS",
            "postal_code": "679012460",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURDEN",
        "first_name": "JEREMY",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-30",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200748730B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Burbach, APRN
• Regan Burcham
• Deborah Burchardt, R.D.,L.D.
• Jvonne Burchett
• Beatrice H Burchill, LMSW
• Wesley Burdiek
• Ryan Bures
• Carla Burford, MD
• Ian Burford, CPO
• Marcus Burgardt

• Marriage & Family Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.