Individual provider Active NPI

Nadirah Jamilah Burris, MS REHAB COUNSELING

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1609291145
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
006121 Issued in OK
Practice address
101 Park Ave Ste 1300
Oklahoma City, OK 73102-7216
Phone
(646) 941-7645
Fax
(929) 596-7897
NPI assigned
Feb 20, 2014
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 00115681 OK
Professional Counselor 101YP2500X 006121 OK Primary
School Counselor 101YS0200X 301797 OK

Addresses

Primary practice location

101 Park Ave Ste 1300
Oklahoma City, OK 73102-7216

Mailing address

5604 Evanbrook Ter
Oklahoma City, OK 73135-1508
Phone (405) 657-4180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20251110001189 OK Practitioner - Mental Health Counselor 9739679507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Westover Dr
Sanford, NC 27330-8941

5604 Evanbrook Ter
Oklahoma City, OK 73135-1508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
00115681OKMDCounselor
006121OKMDProfessional Counselor
301797OKMDSchool Counselor
6121OKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Oct 8, 2025 Accepting new patients
Next Step Counseling Past Accepting new patients

Locations

101 Park Ave
Oklahoma City, OK 73102
Phone (405) 442-4940

101 Park Ave
Ste 1300
Oklahoma City, OK 73102
Phone (405) 689-9820

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1609291145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 EVANBROOK TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731351508",
            "telephone_number": "405-657-4180",
            "fax_number": "405-605-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PARK AVE STE 1300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731027216",
            "telephone_number": "646-941-7645",
            "fax_number": "929-596-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "NADIRAH",
        "middle_name": "JAMILAH",
        "credential": "MS REHAB COUNSELING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "00115681",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "006121",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "OK",
            "license": "301797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.