Active NPI
Jenifer Burbank, P.C.
- Professional Counselor
- Canon City, CO
National Provider Identifier
1669275608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenifer Burbank, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.
-
- Professional Counselor
- Canon City, CO
- NPI 1033863162
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.