Individual provider Active NPI

Elissa Janay Burrows, B. ED.

  • Counselor
  • Roseburg, OR
National Provider Identifier
1639469711
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
612 SE Jackson St Ste 11
Roseburg, OR 97470-4956
Phone
(541) 464-6455
Fax
(541) 464-6457
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

612 SE Jackson St Ste 11
Roseburg, OR 97470-4956

Mailing address

612 SE Jackson St Ste 11
Roseburg, OR 97470-4956
Phone (541) 464-6455

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

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1639469711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 SE JACKSON ST STE 11",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704956",
            "telephone_number": "541-464-6455",
            "fax_number": "541-464-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 SE JACKSON ST STE 11",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704956",
            "telephone_number": "541-464-6455",
            "fax_number": "541-464-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROWS",
        "first_name": "ELISSA",
        "middle_name": "JANAY",
        "name_prefix": "Miss",
        "credential": "B. ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.