Active NPI
Jennifer Louise Burks
- Professional Counselor
- Austin, TX
National Provider Identifier
1598296964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74346
- Practice address
- 2410 E Riverside Dr
Suite G-3
Austin, TX 78741-3083 - Phone
- (512) 804-3000
- Fax
- (512) 323-9544
- NPI assigned
- Mar 27, 2017
- Last updated
- Jun 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 74346 | TX | Primary |
Addresses
Primary practice location
2410 E Riverside Dr
Suite G-3
Austin, TX 78741-3083
Mailing address
2410 E Riverside Dr
Suite G-3
Austin, TX 78741-3083
Phone (512) 804-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74346 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498003200000",
"number": "1598296964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 E RIVERSIDE DR",
"address_2": "SUITE G-3",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787413083",
"telephone_number": "512-804-3000",
"fax_number": "512-323-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 E RIVERSIDE DR",
"address_2": "SUITE G-3",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787413083",
"telephone_number": "512-804-3000",
"fax_number": "512-323-9544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKS",
"first_name": "JENNIFER",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-27",
"last_updated": "2017-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.