KENYETTA RICHELLE BURROUGHS (NPI# 1154734648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154734648 |
| Entity Type | Individual |
| Full Name | KENYETTA RICHELLE BURROUGHS |
| Credential | M.A. |
| Practice Address |
4411 Rosemont Dr Columbus GA 31904-5634 |
| Practice Telephone | 7063270279 |
| Practice Fax Number | 7063275294 |
| Mailing Telephone | 7063270279 |
| Mailing Fax Number | 7063275294 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
4411 ROSEMONT DR |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-5634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609929157 | New Horizons Csb Reach Center | Counselor | 4411 Rosemont Dr, Columbus, GA 31904-5634 | 2007-01-19 |
| 1497304653 | Todd Wilson | Counselor | 4411 Rosemont Dr, Columbus, GA 31904-5634 | 2019-09-10 |
| 1407326937 | Deloise D Crowell | Counselor | 4411 Rosemont Dr, Columbus, GA 31904-5634 | 2018-11-27 |
| 1922582550 | Matthew Bryan Sampson | Counselor | 4411 Rosemont Dr, Columbus, GA 31904-5634 | 2018-09-19 |
| 1790262954 | Cynthia Braski | Counselor | 4411 Rosemont Dr, Columbus, GA 31904-5634 | 2018-07-20 |
| 1609367440 | Aneesah Tiara Landry | Counselor | 4411 Rosemont Dr, Columbus, GA 31904-5634 | 2018-05-29 |
| 1275051617 | Tashae Streeter | Counselor | 4411 Rosemont Dr, Columbus, GA 31904-5634 | 2017-09-06 |
| 1487180402 | Kathleen Sharp | Counselor | 4411 Rosemont Dr, Columbus, GA 31904-5634 | 2017-05-11 |
| 1700329943 | Tasha Nicole Morman | Counselor | 4411 Rosemont Dr, Columbus, GA 31904-5634 | 2016-11-21 |
| 1265974273 | Doreen Ford | Counselor | 4411 Rosemont Dr, Columbus, GA 31904-5634 | 2016-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354864 | Our Voice Matters LLC | Counselor | 1258 Cedar Ave Unit 701, Columbus, GA 31906-2446 | 2020-10-18 |
| 1467050427 | Sonia Buhrer Bowen | Counselor | 475 E Mound St, Columbus, OH 43215-5573 | 2020-10-13 |
| 1710593736 | Lisa Rooker | Counselor | 3197 E Dublin Granville Rd, Columbus, OH 43231-4035 | 2020-09-16 |
| 1679184089 | Amy Danielle Styron | Counselor | 770 Golding Rd, Columbus, MS 39702-7866 | 2020-08-11 |
| 1700495934 | Meghan Craig | Counselor | 3600 Oakstone Drive, Columbus, OH 43231 | 2020-07-23 |
| 1417575416 | Chris Burton | Counselor | 1017 3rd St, Columbus, IN 47201-6870 | 2020-07-07 |
| 1841811270 | Tera Shevon Wise | Counselor | 1390 Dublin Rd, Columbus, OH 43215-1009 | 2020-04-27 |
| 1699303669 | Killian Counseling LLC | Counselor | 2700 E Main St Ste 106, Columbus, OH 43209-2536 | 2020-03-27 |
| 1366076853 | Lukas Planck | Counselor | 2984 Cortona Rd, Columbus, OH 43204-3601 | 2020-02-24 |
| 1558994681 | Gary Willis | Counselor | 3290 Meridian Rd, Columbus, OH 43232-4079 | 2020-02-18 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.