Jacquetta Burnside

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGPC200001269 Issued in DC

Practice address

1818 New York Ave NE Ste 110
Washington, DC 20002-1849

Phone

(202) 978-1228

NPI assigned

Mar 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavior Frontiers, LLC

  • Behavior Analyst
  • Gardena, CA
  • NPI 1245539394
  NPD (past)

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1699423301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 FARRAGUT PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172361",
            "telephone_number": "202-656-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NEW YORK AVE NE STE 110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021849",
            "telephone_number": "202-978-1228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12025 Bion Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207445106",
            "country_code": "US",
            "telephone_number": "304-308-7340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18726 S Western Ave Ste 408",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902483858",
            "country_code": "US",
            "telephone_number": "310-856-0800",
            "fax_number": "310-324-3134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNSIDE",
        "first_name": "JACQUETTA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "LGPC200001269",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "LGPC200001269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin M Burns, MD
• Robert Lee Burns, PSY.D.
• Rolita Burns
• Taneka Burns
• Thomasina Burns
• Emily D Burnworth, PA-C
• Renee Burr, HHA
• Patricia Burrage
• Heyward Burrell Jr., DDS
• Janay Burrell

• Mental Health Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Mental Health Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.