Jennifer Burruel, MC, DBH

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7301 N 16TH St Ste 100
Phoenix, AZ 85020-5266

Phone

(602) 567-0263

Fax

(602) 567-0263

NPI assigned

Feb 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Achieve Counseling & Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1679129860
  NPD Authorized official
• Jewish Family & Children'S Service

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1467520577
  NPD (past)

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588982400000",
    "number": "1902138308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 N 16TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205266",
            "telephone_number": "602-567-0263",
            "fax_number": "602-567-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N 16TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205266",
            "telephone_number": "602-567-0263",
            "fax_number": "602-567-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRUEL",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MC, DBH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2020-05-09",
        "certification_date": "2020-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-14129",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "LPC-14129",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianne Burroughs, RN
• Deborah E Burroughs, LCSW
• Rebecca Burrous
• Akisha Tene Burrow
• Julie Ann Burrows, CRNA
• Susanna Burruel, PHARMD,RPH
• Helen Burson, RN
• Tanya L. Burston
• Brian Burt, PA-C
• Hilary Burt, PA-C

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2020; 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.