KEELY BURKS (NPI# 1760956130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760956130 |
| Entity Type | Individual |
| Full Name | KEELY BURKS |
| Credential | LPC |
| Practice Address |
1698 W Grande Blvd Tyler TX 75703-4426 |
| Practice Telephone | 9035618955 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1698 W GRANDE BLVD |
| City | TYLER |
| State | TX |
| Zip Code | 75703-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396109294 | Amy Furqueron | Counselor | 2003 Rickety Ln Ste E, Tyler, TX 75703-1704 | 2016-04-07 |
| 1366809287 | Anita Smith X | Counselor | 1817 Wsw Loop 323, Tyler, TX 75701-8426 | 2016-01-22 |
| 1053734129 | Raymond Perales Martinez | Counselor | 3919 Belle Mere St, Tyler, TX 75701-6704 | 2014-01-27 |
| 1942571153 | Crystal Duane Johnson | Counselor | 401 E Front Street, Suite 139, Tyler, TX 75701-1608 | 2012-01-19 |
| 1417565110 | Rachel Renee Spurgeon | Counselor | 120 W 5th St Ste 105, Tyler, TX 75701-4053 | 2020-07-20 |
| 1962020412 | Denise N Hazen | Counselor | 3800 Paluxy Dr Ste 240, Tyler, TX 75703-1667 | 2020-07-10 |
| 1275003410 | Molly Moore | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2018-11-30 |
| 1801385653 | Margaret Elaine Eckhardt | Counselor | 218 N College Ave, Tyler, TX 75702-5715 | 2018-05-08 |
| 1609267962 | Janus Children Services Inc | Counselor | 3800 Paluxy Dr, Suite 150, Tyler, TX 75703-1629 | 2015-02-09 |
| 1538487541 | Amy Michelle Wilson | Counselor | 409 W Locust St, Tyler, TX 75702-5644 | 2010-05-14 |
| Find all providers in TYLER | ||||
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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.