CRYSTAL DAWN BURNS (NPI# 1679705669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679705669 |
| Entity Type | Individual |
| Full Name | CRYSTAL DAWN BURNS |
| Credential | PLPC |
| Practice Address |
1800 Madison 257 Fredericktown MO 63645-8273 |
| Mailing Address |
734 Highway Aa Farmington MO 63640-7075 |
| Practice Telephone | 5737834400 |
| Practice Fax Number | 5737834409 |
| Mailing Telephone | 5737010054 |
| Mailing Fax Number | 5737834409 |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2009-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2009023308 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962788620 | Crystal Veronica Burns | Social Worker | 1325 E Cooley Dr Ste 106, Colton, CA 92324-3966 | 2011-10-26 |
| 1326529033 | Crystal Burns | Occupational Therapy Assistant | 300 Crown Pointe Blvd, Willow Park, TX 76087-1160 | 2018-08-22 |
| Street Address |
1800 MADISON 257 |
| City | FREDERICKTOWN |
| State | MO |
| Zip Code | 63645-8273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417070210 | Faith Tabernacle World Outreach Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1800 Madison 257, Fredericktown, MO 63645-8273 | 2007-04-08 |
| 1942759899 | Amanda Edwards | Counselor | 1800 Madison 257, Fredericktown, MO 63645-8273 | 2016-10-03 |
| 1427493832 | Emily Brooke Mcculley | Counselor | 1800 Madison 257, Fredericktown, MO 63645-8273 | 2013-04-30 |
| 1598044083 | Derek Wayne Stricklin | Residential Treatment Facility, Emotionally Disturbed Children | 1800 Madison 257, Fredericktown, MO 63645-8273 | 2011-08-15 |
| 1629385356 | Lucretia Lea Whited | Counselor | 1800 Madison 257, Fredericktown, MO 63645-8273 | 2010-09-01 |
| 1801114731 | Sherry Ann Pruett | Counselor | 1800 Madison 257, Fredericktown, MO 63645-8273 | 2010-05-17 |
| 1043452733 | Carol Marie Thurman | Counselor | 1800 Madison 257, Fredericktown, MO 63645-8273 | 2009-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193880 | Emily Engers | Counselor | 206 W Marvin Ave, Fredericktown, MO 63645 | 2015-05-12 |
| 1871823955 | Covenant Care Services, LLC | Custodial Care Facility | 1610 W. Hwy 72, Fredericktown, MO 63645 | 2010-01-12 |
| 1518110279 | East Missouri Action Agency, Inc. | Clinic/Center | 806 West College Rd, Fredericktown, MO 63645 | 2008-10-28 |
| 1679737324 | Linda Carole Cravens | Dentist | 731 W Main St, Guy A Walker Dds, Fredericktown, MO 63645 | 2008-07-11 |
| 1629286976 | Community Health Care Associates, Inc | Social Worker | 735 West Main, Fredericktown, MO 63645 | 2007-05-18 |
| 1467539031 | Madison Medical Center Stockhoff Memorial Nursing Home | Clinic/Center | 611 West Main Street, Fredericktown, MO 63645 | 2006-11-01 |
| 1487749537 | Covenant Care Services, LLC | Registered Nurse | 120 S. Mine Lamotte, Fredericktown, MO 63645 | 2006-10-04 |
| 1215577945 | Modern Mental Health | Community/Behavioral Health | 151 South Main Street, Suite B, Fredericktown, MO 63645 | 2020-01-10 |
| 1235392309 | Humberto Jose Olivero Lara | Family Medicine | 611 West Main Street, Fredericktown, MO 63645 | 2008-07-08 |
| 1003983859 | Madison Memorial Hospital Stockhoff Memorial Nursing Home | Pharmacy | 611 West Main Street, Fredericktown, MO 63645 | 2006-11-29 |
| Find all providers in zip 63645 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982240305 | Alyssa Jene' Brown | Counselor | 151 South Main Street, Suite B, Fredericktown, MO 63645-6364 | 2019-11-20 |
| 1124598859 | Samantha Elizabeth Schmitt | Counselor | 406 Virginia St, Fredericktown, MO 63645-1463 | 2018-11-26 |
| 1093193880 | Emily Engers | Counselor | 206 W Marvin Ave, Fredericktown, MO 63645 | 2015-05-12 |
| 1457657959 | Deborah K Pauls | Counselor | 201 N Mine La Motte St, Fredericktown, MO 63645-1203 | 2011-01-31 |
| 1144416322 | Carrie G Schubert | Counselor | 340 N Chamber Dr, Fredericktown, MO 63645-7947 | 2007-09-20 |
| 1558394726 | American Health Network of Ohio, LLC | Counselor | 122 Columbus Road, Fredericktown, OH 43019-1266 | 2006-07-09 |
| 1407328503 | Vicki Sue Branstetter | Counselor | 600 Sargent Ln, Fredericktown, MO 63645-7526 | 2018-12-30 |
| 1093182826 | Sage Services LLC | Counselor | 340 N Chamber Dr, Fredericktown, MO 63645-7947 | 2015-08-27 |
| 1801114731 | Sherry Ann Pruett | Counselor | 1800 Madison 257, Fredericktown, MO 63645-8273 | 2010-05-17 |
| 1043452733 | Carol Marie Thurman | Counselor | 1800 Madison 257, Fredericktown, MO 63645-8273 | 2009-03-27 |
| Find all providers in FREDERICKTOWN | ||||
| City | FREDERICKTOWN |
| Zip Code | 63645 |
Please comment or provide details below to improve the information on CRYSTAL DAWN BURNS.
| 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.