Kristen Burnsmith, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LAC-15503 Issued in AZ

Practice address

18789 N Reems Rd
Surprise, AZ 85374-8648

Phone

(623) 337-0946

NPI assigned

Jun 16, 2016

Last updated

Jan 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Burns Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 15, 2024 through Jan 15, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1851741243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14264 W VENTURA ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798687",
            "telephone_number": "623-337-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18789 N REEMS RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748648",
            "telephone_number": "623-337-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNSMITH",
        "first_name": "KRISTEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-15503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BURNS",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Lynn Burkhardt, PT, MPT
• Alicia Burks, R. N.
• Gabriela Cristina Burlacu, MANAGER
• Burnes West Home
• Courtney Burnett
• Cassandra Lauren Burruel Cook
• Gerald R. Bush, MD
• Shain Lenae Bussell, CBCS
• Destiny Butler
• Ryan Shelby Butler, LAC

• Counselor in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.