Organization Active NPI

R Burks LTD

  • Mental Health Counselor
  • Highlands Ranch, CO
National Provider Identifier
1750137006
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
R BURKS LTD
Practice address
9609 S University Blvd Unit 630015
Highlands Ranch, CO 80163-3000
Phone
(720) 334-1864
NPI assigned
Apr 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Authorized official

Name
Roderic BurksNPI 1851812663
Title
Provider
Phone
(720) 334-1864

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9609 S University Blvd Unit 630015
Highlands Ranch, CO 80163-3000

Mailing address

9609 S University Blvd Unit 630015
Highlands Ranch, CO 80163-3000
Phone (720) 334-1864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240530001739 CO Part B Supplier - Clinic/Group Practice 6507208949 Receives reassigned benefits from 1 practitioner
Practice locations: Highlands Ranch, CO

National Provider Directory

National Provider Directory

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": "1714176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1750137006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9609 S UNIVERSITY BLVD UNIT 630015",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801633000",
            "telephone_number": "720-334-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9609 S UNIVERSITY BLVD UNIT 630015",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801633000",
            "telephone_number": "720-334-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R BURKS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "RODERIC",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "720-334-1864"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.