Roderic Alton Burks, MA, MS HSC, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0013835 Issued in CO

Practice address

1776 S Jackson St Ste 211
Denver, CO 80210-3823

Phone

(720) 334-1864

Fax

(720) 230-5072

NPI assigned

Jun 30, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• R Burks LTD

  • Mental Health Counselor
  • Highlands Ranch, CO
  • NPI 1750137006
  Medicare reassignment NPD Authorized official
• Integrative Therapy Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denver, CO
  • NPI 1164001152
  NPD Authorized official

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1851812663",
    "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": "1776 S JACKSON ST STE 211",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103823",
            "telephone_number": "720-334-1864",
            "fax_number": "720-230-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "RODERIC",
        "middle_name": "ALTON",
        "credential": "MA, MS HSC, MS,  LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0013835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Joseph Burkhart
• Brenna Burkhart
• Caleb Burkitt, PHARM.D.
• Brittany Mikela Burkott, PTA
• Emily Burks, M.A.
• Clay Cothren Burlew, MD
• Justin Burman
• Robert Ward Burman, M.D., PH.D.
• William J Burman, MD
• Britton Burn

• Professional Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.