Individual provider Active NPI

Jovon Burkes

  • Counselor
  • Detroit, MI
National Provider Identifier
1962046896
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6451014215 Issued in MI
Practice address
1121 E McNichols Rd
Detroit, MI 48203-2857
Phone
(313) 365-3100
NPI assigned
Nov 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X
Counselor 101Y00000X 6451014215 MI Primary

Addresses

Primary practice location

1121 E McNichols Rd
Detroit, MI 48203-2857

Mailing address

3150 Huntsman Blvd
Lake Orion, MI 48360-2534
Phone (630) 487-0813

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
6451014215MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
HCC Connection LLC Current Accepting new patients
HCC Connection LLC Counselor Current Accepting new patients

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1962046896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HUNTSMAN BLVD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483602534",
            "telephone_number": "630-487-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482032857",
            "telephone_number": "313-365-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKES",
        "first_name": "JOVON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-04",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451014215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.