Individual provider Active NPI

Joseph Edward Burt, LPC

  • Mental Health Counselor
  • Arkadelphia, AR
National Provider Identifier
1952954471
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P22110010 Issued in AR
Practice address
2503 Pine St Ste 4
Arkadelphia, AR 71923-4368
Phone
(870) 403-4878
Fax
(844) 315-9561
NPI assigned
Jul 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A1907095 AR
Mental Health Counselor 101YM0800X P22110010 AR Primary

Addresses

Primary practice location

2503 Pine St Ste 4
Arkadelphia, AR 71923-4368

Mailing address

PO Box 1604
Arkadelphia, AR 71923-1604
Phone (870) 403-4878

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

LicenseStateTypeSpecialty
A1907095ARMDCounselor
P22110010ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counsling Place, LLC Current Accepting new patients

Locations

2503 Pine St
Ste 4
Arkadelphia, AR 71923
Phone (870) 403-4878

Organizations & group practices 1

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1952954471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1604",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719231604",
            "telephone_number": "870-403-4878",
            "fax_number": "844-315-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 PINE ST STE 4",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234368",
            "telephone_number": "870-403-4878",
            "fax_number": "844-315-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A1907095",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P22110010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkadelphia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.