Active NPI
John Clarence Burns III, ED.D., LPC, NCC
- Mental Health Counselor
- Albany, GA
National Provider Identifier
1942342332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC000169
- Practice address
- 1216 Dawson Rd
Suite 114
Albany, GA 31707-3889 - Phone
- (229) 883-7774
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC000169 | GA | Primary |
Addresses
Primary practice location
1216 Dawson Rd
Suite 114
Albany, GA 31707-3889
Mailing address
2308 Wallington Dr
Albany, GA 31721-8900
Phone (299) 435-7374
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 |
|---|---|---|---|
| LPC000169 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942342332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 WALLINGTON DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317218900",
"telephone_number": "299-435-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 DAWSON RD",
"address_2": "SUITE 114",
"city": "ALBANY",
"state": "GA",
"postal_code": "317073889",
"telephone_number": "229-883-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "JOHN",
"middle_name": "CLARENCE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "ED.D., LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC000169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.