Jason Michael Burdge, CCDC, CBHCM, BHRS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

101YP2500X Issued in OK

Practice address

23 E Ross Ave
Sapulpa, OK 74066-6423

Phone

(918) 640-0290

Fax

(918) 227-1125

NPI assigned

Nov 16, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1932400330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 N LINCOLN AVE",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637823",
            "telephone_number": "918-490-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E ROSS AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740666423",
            "telephone_number": "918-640-0290",
            "fax_number": "918-227-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDGE",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CCDC, CBHCM, BHRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "101YP2500X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Bryant, M.A.
• Joshua Bullock, M.S., LPC
• Joyce Louise Bumgardner, M.D.
• Andrea Bunch, APRN
• Linda L Bunn, M.S.,L.P.C.
• Jonesha Leequita Burgess
• Lori Burgess, PTA
• Alexandria Paige Burns, LPC-CANDIDATE
• Tara Coleen Burt
• Linda C Byrd, ARNP

• Professional Counselor in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.