NPIMap

Organization Active NPI

Burke Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lufkin, TX
National Provider Identifier
1518017128
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
H8939 Issued in TX
Legal business name
BURKE CENTER
Practice address
2001 S Medford Dr
Lufkin, TX 75901-6260
Phone
(936) 633-5672
Fax
(936) 633-5695
NPI assigned
Jan 12, 2007
Last updated
Jun 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Teri Smith
Title
Revenue Cycle Adm
Phone
(936) 633-5651

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X H8939 TX Primary

Addresses

Primary practice location

2001 S Medford Dr
Lufkin, TX 75901-6260

Mailing address

4101 S Medford Dr
Lufkin, TX 75901-5633
Phone (936) 633-5650

Other identifiers 1

IdentifierTypeStateIssuer
136367305MedicaidTX

Other names 1

  • MH Rehab Other name

National Provider Directory

National Provider Directory
Tax ID family
Choices Adolescent Center20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1518017128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015633",
            "telephone_number": "936-633-5650",
            "fax_number": "936-633-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016260",
            "telephone_number": "936-633-5672",
            "fax_number": "936-633-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "REVENUE CYCLE ADM",
        "authorized_official_telephone_number": "936-633-5651"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "H8939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136367305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MH Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.