Jennifer Lynn Burkholder, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

367 Issued in AK

Practice address

3201 C St
Suite 302
Anchorage, AK 99503-3917

Phone

(907) 562-1996

Fax

(907) 562-2295

NPI assigned

May 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phillip W Neuberger MD LLC

  dba Behavioral Medicine of Alaska

  • Child & Adolescent Psychiatry Physician
  • Anchorage, AK
  • NPI 1114117272
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982812277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110187",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995110187",
            "telephone_number": "907-562-1996",
            "fax_number": "907-562-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 C ST",
            "address_2": "SUITE 302",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033917",
            "telephone_number": "907-562-1996",
            "fax_number": "907-562-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHOLDER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AK",
            "license": "367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH7266",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila A Burke, MD
• Stefania Burke, RN, BSN
• Thomas J Burke, MD
• Tierra Burkett
• Rachael Adein Burkhart, BSW
• Alexandria Burks-Dakutak
• Alanette Burks
• Ruby Burma, MSN, PMHNP
• Heather S Burnell, PA-C
• Teresa Burnett

• Counselor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Counselor in Alaska

• 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.

Verify at the official NPI Registry.