JENNIFER L BURKE (NPI# 1760972160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760972160 |
Entity Type | Individual |
Full Name | JENNIFER L BURKE |
Practice Address |
149 N Main Street Phoenix OR 97535 |
Mailing Address |
556 G St Apt 2 Jacksonville OR 97530-9677 |
Practice Telephone | 5415354133 |
Mailing Telephone | 5418997769 |
Enumeration Date | 2018-05-11 |
Last Update Date | 2018-05-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679083034 | Jennifer Anne Burke | Nurse Practitioner | 1801 Se Hillmoor Dr # 108, Port Saint Lucie, FL 34952-7553 | 2017-10-11 |
1689962748 | Jennifer Kathleen Burke | Optometrist | 4175 S Grand Canyon Dr Ste 105, Las Vegas, NV 89147-7155 | 2011-07-11 |
1295963890 | Jennifer Lyn Burke | Speech-Language Pathologist | 2300 English Rd, Rochester, NY 14616-1682 | 2009-06-23 |
1477705366 | Jennifer Lynn Burke | Physical Therapist | 35 Vista Dr, Saratoga Springs, NY 12866-8773 | 2008-10-22 |
1215073002 | Jennifer Cathy Burke | Counselor | 230 Maple St Ste B1, Holyoke, MA 01040-5143 | 2007-01-29 |
1912070913 | Jennifer Jean Burke | Counselor | 954 Whittier Highway, Moultonborough, NH 03254 | 2006-11-16 |
1346267275 | Jennifer Burke | Physician Assistant | 211 N Main St Ste 203, Cape May Court House, NJ 08210-2163 | 2006-07-16 |
1609356690 | Jennifer Caitlin Burke | Case Manager/Care Coordinator | 10700 Sw Beaverton Hillsdale Hwy Ste 11, Beaverton, OR 97005-3035 | 2018-08-19 |
1073013348 | Jennifer Leigh Burke | Dentist | 103 Broad St Sw, Atlanta, GA 30303 | 2018-02-13 |
1417485145 | Jennifer Burke | Occupational Therapist | 7508 M E Cad Blvd Ste A, Clarkston, MI 48348-4281 | 2017-05-25 |
Street Address |
149 N MAIN STREET |
City | PHOENIX |
State | OR |
Zip Code | 97535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740649821 | Elizabeth Van Driel | Counselor | 149 N Main Street, Phoenix, OR 97535 | 2016-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417318577 | Brent M Gordon | Counselor | 5505 S Pacific Hwy, Phoenix, OR 97535 | 2016-03-16 |
1740611458 | William Allen Haden Jr. | Social Worker | 106 N. Rose Street, Phoenix, OR 97535 | 2013-12-05 |
1528396470 | Sarah Bly | Midwife, Lay | 509 5th St., Phoenix, OR 97535 | 2009-12-03 |
1992961239 | Stephen J Brummett | Counselor | 482 Elm St, Phoenix, OR 97535 | 2008-08-06 |
1568680577 | Christine Carolyn Robinson | Chiropractor | 721 N. Main St., Space A, Phoenix, OR 97535 | 2007-04-23 |
1982729539 | Daniel Jansen | Counselor | 215 N Rose St, Phoenix, OR 97535 | 2007-03-20 |
1770196016 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 106 N. Rose Street, Phoenix, OR 97535 | 2020-08-26 |
1124552872 | Desiree Thompson | Counselor | 149 N Main St, Phoenix, OR 97535 | 2017-04-19 |
1821333402 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 215 N Rose St, Phoenix, OR 97535 | 2012-12-07 |
1376716571 | Phoenix Counseling Center, Inc. | Community/Behavioral Health | 149 S Main St, Phoenix, OR 97535 | 2008-04-08 |
Find all providers in zip 97535 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649885716 | Global Family LLC | Counselor | 4523 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-09-15 |
1982218772 | Bashar Aldeen | Counselor | 3401 W Country Gables Dr, Phoenix, AZ 85053-4756 | 2020-08-31 |
1508478082 | Tahonna Latreise Surrell | Counselor | 3236 E Chandler Blvd Unit 1034, Phoenix, AZ 85048-7281 | 2020-08-17 |
1346858883 | Heather Romero | Counselor | 110 W Camelback Rd Ste 200, Phoenix, AZ 85013-2564 | 2020-07-21 |
1134747546 | Arcadian Homes, LLC | Counselor | 5924 W Trumbull Rd, Phoenix, AZ 85043-1967 | 2020-07-13 |
1902423023 | Danielle Jeanette Le Blanc | Counselor | 3228 W Silver Sage Ln, Phoenix, AZ 85083-5866 | 2020-07-06 |
1366060477 | Rising Phoenix Neighborhood | Counselor | 202 E Earll Dr Unit 360-35, Phoenix, AZ 85012-2634 | 2020-07-06 |
1043832504 | Candice Marie Isaacson | Counselor | 2911 W Sunnyside Dr, Phoenix, AZ 85029-3302 | 2020-05-07 |
1639799356 | Harbor Health | Counselor | 3213 S 66th Ave, Phoenix, AZ 85043-1922 | 2020-04-22 |
1083247357 | Edward Scott White | Counselor | 2150 E Bell Rd Unit 1042, Phoenix, AZ 85022-2973 | 2020-02-14 |
Find all providers in PHOENIX |
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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.