Active NPI
James Latroy Burks
- Professional Counselor
- Louisville, KY
National Provider Identifier
1558565739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 173071
- Practice address
- 927 Southview Rd
Louisville, KY 40214 - Phone
- (502) 905-8335
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0114 | KY | |
| Professional Counselor | 101YP2500X | 173071 | KY | Primary |
Addresses
Primary practice location
927 Southview Rd
Louisville, KY 40214
Mailing address
927 Southview Rd
Louisville, KY 40214-3413
Phone (502) 905-8335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173071 | Other | KY | KENTUCKY BOARD OF COUNSELING |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0114 | KY | MD | Mental Health Counselor |
| 173071 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Room LLP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Louisville, KY
- NPI 1316769011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1558565739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 SOUTHVIEW RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402143413",
"telephone_number": "502-905-8335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 SOUTHVIEW RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40214",
"telephone_number": "502-905-8335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKS",
"first_name": "JAMES",
"middle_name": "LATROY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "0114",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "173071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF COUNSELING",
"identifier": "173071",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.