Individual provider Active NPI

James Adam Burns, PH.D.

  • Psychologist
  • Janesville, WI
National Provider Identifier
1942260757
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2492-057 Issued in WI
Practice address
1 South Main Street
Genesis Counseling Services
Janesville, WI 53545
Phone
(608) 757-0404
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2492-057 WI Primary

Addresses

Primary practice location

1 South Main Street
Genesis Counseling Services
Janesville, WI 53545

Mailing address

PO Box 8010
1 South Main Street Genesis Counseling Services
Janesville, WI 53547-8010
Phone (608) 757-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20041230000423 WI Practitioner - Clinical Psychologist 8426016833 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2492-057WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Counseling Services LTD. CurrentSince Oct 22, 2008 Accepting new patients
The Psychology Center S C Past Accepting new patients

Locations

1 S Main St
Ste 250
Janesville, WI 53545
Phone (608) 757-0404

1 S Main St
Janesville, WI 53545
Phone (608) 757-0404

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942260757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8010",
            "address_2": "1 SOUTH MAIN STREET GENESIS COUNSELING SERVICES",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535478010",
            "telephone_number": "608-757-0404",
            "fax_number": "608-757-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTH MAIN STREET",
            "address_2": "GENESIS COUNSELING SERVICES",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53545",
            "telephone_number": "608-757-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JAMES",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2492-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.