Demetria Burleson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2640 Venice Dr Unit 6
Grand Prairie, TX 75054-6626

Phone

(469) 226-6955

NPI assigned

Feb 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1760188775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 VENICE DR UNIT 6",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 VENICE DR UNIT 6",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546626",
            "telephone_number": "469-226-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "DEMETRIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PAY",
            "identifier": "15349042",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Bui
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• Jamy Lyn Bulgarelli, DO
• Gidion Buma, DNP, APRN, PMHNP-BC
• Beatrice Chemutai Busienei Bii, PMHNP-BC
• Katelyn Renee Bustillos
• Maram Butah, DDS
• Nanda Bysani, MD
• C & M Pediatric Associates P a

• Professional Counselor in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.