Active NPI
Marva Davis Burks, LPC
- Professional Counselor
- Bellaire, TX
National Provider Identifier
1942887625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 79825
- Practice address
- 5959 West Loop South Suite #180
Bellaire, TX 77401-2420 - Phone
- (832) 951-7816
- Fax
- (832) 626-3556
- NPI assigned
- Mar 27, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 79825 | TX | Primary |
Addresses
Primary practice location
5959 West Loop South Suite #180
Bellaire, TX 77401-2420
Mailing address
5959 West Loop South Suite #180
Bellaire, TX 77401-2420
Phone (832) 951-7816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79825 | Other | TX | LICENSED PROFESSIONAL COUNSELOR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Computer | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
Locations
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
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": "1616803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1942887625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 WEST LOOP SOUTH SUITE #180",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774012420",
"telephone_number": "832-951-7816",
"fax_number": "832-626-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 WEST LOOP SOUTH SUITE #180",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774012420",
"telephone_number": "832-951-7816",
"fax_number": "832-626-3556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKS",
"first_name": "MARVA",
"middle_name": "DAVIS",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-27",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "79825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "79825",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Computer",
"affiliation": "N",
"endpointDescription": "Computer",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5959 West Loop South Suite #180",
"city": "Bellaire",
"state": "TX",
"country_code": "US",
"postal_code": "774012040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.