Active NPI
Patricia Marie Burbank, LPC
- Professional Counselor
- Jackson, MI
National Provider Identifier
1699845008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401006102
- Practice address
- 432 Wildwood Ave
Jackson, MI 49201-1148 - Phone
- (517) 937-9321
- Fax
- (517) 688-9874
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2-00259 | MI | |
| Mental Health Counselor | 101YM0800X | 6401006102 | MI | |
| Professional Counselor | 101YP2500X | 6401006102 | MI | Primary |
Addresses
Primary practice location
432 Wildwood Ave
Jackson, MI 49201-1148
Mailing address
238 Steves Scenic Dr
Horton, MI 49246-9742
Phone (517) 937-9321
Other names 1
- Ms. Patricia Byson Burbank
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-00259 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 6401006102 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1699845008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 STEVES SCENIC DR",
"city": "HORTON",
"state": "MI",
"postal_code": "492469742",
"telephone_number": "517-937-9321",
"fax_number": "517-688-9874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 WILDWOOD AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011148",
"telephone_number": "517-937-9321",
"fax_number": "517-688-9874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURBANK",
"first_name": "PATRICIA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "2-00259",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401006102",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401006102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "BURBANK",
"middle_name": "BYSON",
"prefix": "MS.",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.