Active NPI
James Eugene Burks Jr., LSAA, CPSW
- Addiction (Substance Use Disorder) Counselor
- Albuquerque, NM
National Provider Identifier
1821596867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CTB-2022-0020
- Practice address
- 400 Gold Ave SW Ste 1200
Albuquerque, NM 87102-3276 - Phone
- (505) 224-9124
- Fax
- (505) 247-9503
- NPI assigned
- Jan 24, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CTB-2022-0020 | NM | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CTB-2022-0020 | NM | Primary |
Addresses
Primary practice location
400 Gold Ave SW Ste 1200
Albuquerque, NM 87102-3276
Mailing address
600 1St St NW Ste 200
Albuquerque, NM 87102-2311
Phone (505) 224-9124
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 |
|---|---|---|---|
| CTB-2022-0020 | NM | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1821596867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 1ST ST NW STE 200",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022311",
"telephone_number": "505-224-9124",
"fax_number": "505-247-9503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 GOLD AVE SW STE 1200",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871023276",
"telephone_number": "505-224-9124",
"fax_number": "505-247-9503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKS",
"first_name": "JAMES",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LSAA, CPSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-24",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "CTB-2022-0020",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "CTB-2022-0020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.