Organization Active NPI

Jenifer Burbank, P.C.

  • Professional Counselor
  • Canon City, CO
National Provider Identifier
1669275608
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JENIFER BURBANK, P.C.
Practice address
831 Royal Gorge Blvd Ste 225
Canon City, CO 81212-6709
Phone
(719) 671-1036
NPI assigned
Mar 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Jenifer Burbank, LPCNPI 1033863162
Title
Owner
Phone
(719) 671-1036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

831 Royal Gorge Blvd Ste 225
Canon City, CO 81212-6709

Mailing address

765 Washington St
Canon City, CO 81212-8542

Other practice location 1

765 Washington St
Canon City, CO 81212-8542
Phone (719) 671-1036

National Provider Directory

National Provider Directory

Locations

831 Royal Gorge Blvd
Ste 225
Canon City, CO 81212
Phone (719) 671-1036

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1669275608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 WASHINGTON ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812128542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 ROYAL GORGE BLVD STE 225",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812126709",
            "telephone_number": "719-671-1036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 Washington St",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812128542",
            "country_code": "US",
            "telephone_number": "719-671-1036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JENIFER BURBANK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "BURBANK",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-671-1036",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.