Jennifer Lea Burns, LMHP

Individual provider Active NPI Professional Counselor · Norfolk, NE

NPI 1730294182 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1730294182
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2898 (NE)
Practice address
125 S 4TH St
Suite 215
Norfolk, NE 68701-5200
Phone
(402) 379-2455
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2898NEMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2898 NE Yes

Addresses

Primary practice location

125 S 4TH St
Suite 215
Norfolk, NE 68701-5200

Mailing address

125 S 4TH St
Suite 215
Norfolk, NE 68701-5200
Phone (402) 379-2455

Other identifiers

IdentifierTypeStateIssuer
10025201100MedicaidNE

Other providers in Norfolk, NE

All providers in Norfolk, NE · Professional Counselor in Nebraska

Sources for this page

Verify at the official NPI Registry.