Active NPI
Jacquelyn M Burns, PCC
- Professional Counselor
- Delaware, OH
National Provider Identifier
1881979607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E-0500531
- Practice address
- 346 Hickory LN
Delaware, OH 43015-1008 - Phone
- (614) 296-6321
- NPI assigned
- Oct 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E0500531 | OH | |
| Pastoral Counselor | 101YP1600X | E500531 | OH | |
| Professional Counselor | 101YP2500X | E-0500531 | OH | Primary |
Addresses
Primary practice location
346 Hickory LN
Delaware, OH 43015-1008
Mailing address
346 Hickory LN
Delaware, OH 43015-1008
Phone (614) 296-6321
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 |
|---|---|---|---|
| E0500531 | OH | MD | Mental Health Counselor |
| E500531 | OH | MD | Pastoral Counselor |
| E-0500531 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1881979607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 HICKORY LN",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430151008",
"telephone_number": "614-296-6321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 HICKORY LN",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430151008",
"telephone_number": "614-296-6321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "JACQUELYN",
"middle_name": "M",
"credential": "PCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-12",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0500531",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "OH",
"license": "E500531",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E-0500531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.