Katrina Holland Burks

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

465 Derby Dr
Lake Charles, LA 70615-4860

Phone

(337) 564-0513

Fax

(337) 564-0513

NPI assigned

Jan 26, 2016

Sex

Female

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

Practice roles

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.

• Gracious Words Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Charles, LA
  • NPI 1902423668
  NPD Authorized official
• Beyond Words, Inc.

  • Prescribing (Medical) Psychologist
  • Lake Charles, LA
  • NPI 1104176825
  NPD (past)

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1952768665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 DERBY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706154860",
            "telephone_number": "337-540-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 DERBY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706154860",
            "telephone_number": "337-564-0513",
            "fax_number": "337-564-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND BURKS",
        "first_name": "KATRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hobgood Pharmacy, LLC
• Kristopher Chad Hobgood, PHARMD
• Chad Ray Hodge, RN
• Brenda G Holcomb, RNFA
• Holistic Care Medical
• Jerome Holland, G.S.W.
• Marilyn Gribble Holland, APRN
• Jake Thomas Hollen, M.D.
• Brenda Hollenbeck, M.A., LPC, LMFT
• Shamira Holman, CSW

• Mental Health Counselor in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.