DR. CAROL R BURKS (NPI# 1174671879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174671879 |
| Entity Type | Individual |
| Full Name | DR. CAROL R BURKS |
| Credential | PH.D. |
| Practice Address |
301 Perkins Dr Ste. C Las Cruces NM 88005-3248 |
| Practice Telephone | 5055248404 |
| Practice Fax Number | 5055248406 |
| Mailing Telephone | 5055248404 |
| Mailing Fax Number | 5055248406 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
651 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | VALUE OPTIONS | VNM0038 | 01 |
| NM | NM100989 | 05 | |
| NM | BCBS OF NM | NM01NL36 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316070022 | Carol Jean Burks | Counselor | 2301 Riverside Dr, Suite 8, Green Bay, WI 54301-1907 | 2007-03-13 |
| Street Address |
301 PERKINS DR STE. C |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-3248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639242126 | Lourdes Galvan | Speech-Language Pathologist | 301 Perkins Dr, Ste C, Las Cruces, NM 88005-3248 | 2006-11-15 |
| 1285232819 | Alyssa Renee Duran | Behavior Technician | 301 Perkins Dr, Las Cruces, NM 88005-3248 | 2020-10-15 |
| 1528665742 | Ashley Perez | Behavior Technician | 301 Perkins Dr, Las Cruces, NM 88005-3248 | 2020-10-01 |
| 1851908479 | Izaiah Alexander Iniguez | Behavior Technician | 301 Perkins Dr, Las Cruces, NM 88005-3248 | 2020-09-28 |
| 1356828479 | Cheyanne Alyssa Hernandez | Speech-Language Pathologist | 301 Perkins Dr, Las Cruces, NM 88005-3248 | 2018-07-21 |
| 1245611870 | Heike Lehnert-lehouillier | Speech-Language Pathologist | 301 Perkins Dr, Ste B, Las Cruces, NM 88005-3248 | 2015-06-09 |
| 1679996334 | Ada Elisa Vargas | Social Worker | 301 Perkins Dr, Las Cruces, NM 88005-3248 | 2014-01-30 |
| 1164786075 | Morgan Karnes | Behavioral Analyst | 301 Perkins Dr, Ste B, Las Cruces, NM 88005-3248 | 2012-06-26 |
| 1639436769 | Terry L Sanders | Case Manager/Care Coordinator | 301 Perkins Dr, Ste B, Las Cruces, NM 88005-3248 | 2012-04-13 |
| 1881970754 | Monica Nosseir | Counselor | 301 Perkins Dr, Suite B, Las Cruces, NM 88005-3248 | 2011-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629558838 | Ocotillo Psychological Services LLC | Psychologist | 2801 Missouri Ave Ste 36, Las Cruces, NM 88011-9151 | 2018-08-16 |
| 1629585534 | Tracie Hitter | Psychologist | 1830 Myrtle Ave, Las Cruces, NM 88001-5245 | 2018-01-02 |
| 1417394628 | Eve M Adams | Psychologist | 1220 Stewart St, O'donnell Hall, Rm 205, Las Cruces, NM 88003 | 2013-05-29 |
| 1174650477 | Cheryl Ann Black | Psychologist | 1890 Vista Sierra Ct, Las Cruces, NM 88005-4653 | 2007-02-27 |
| 1609940261 | Freda Lue Coalson | Psychologist | 3987 Fiesta Dr # A, Las Cruces, NM 88005-4240 | 2006-11-17 |
| 1386025096 | John G Kutinac, Inc | Psychologist | 1155 S Telshor Blvd, Suite 200, Las Cruces, NM 88011-1009 | 2015-06-18 |
| 1225448954 | Nick Barneclo,llc | Psychologist | 330 N Campo St, Las Cruces, NM 88001-3433 | 2014-05-02 |
| 1639476591 | Bachir Debba Md LLC | Psychologist | 1505 S Don Roser Dr, Suite A, Las Cruces, NM 88011-4596 | 2011-02-11 |
| 1093813826 | Martin Glenn Greer | Psychologist | 1395 Missouri Ave, Las Cruces, NM 88001-5327 | 2006-09-20 |
| 1487767695 | Karen Gold Sagal | Psychologist | 1990 E Lohman Ave, Las Cruces, NM 88001-3172 | 2006-08-15 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
Please comment or provide details below to improve the information on DR. CAROL R BURKS.
| 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.