KATRINA RENAE BURNSIDE (NPI# 1821440181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821440181 |
Entity Type | Individual |
Full Name | KATRINA RENAE BURNSIDE |
Credential | PLMSW |
Practice Address |
1815 Pleasant Grove Road Jonesboro AR 72404 |
Practice Telephone | 8709336886 |
Practice Fax Number | 8709339395 |
Mailing Telephone | 8709336886 |
Mailing Fax Number | 8709339395 |
Enumeration Date | 2016-07-11 |
Last Update Date | 2016-07-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
1815 PLEASANT GROVE ROAD |
City | JONESBORO |
State | AR |
Zip Code | 72404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770535569 | Families, Inc of Arkansas | Counselor | 1815 Pleasant Grove Road, Jonesboro, AR 72401 | 2006-05-17 |
1265050512 | Rossie Goolsby | Case Manager/Care Coordinator | 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 | 2020-07-13 |
1922634161 | Steven Austin Harmon | Counselor | 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 | 2020-03-19 |
1225664469 | David Jake Emery | Case Manager/Care Coordinator | 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 | 2020-03-19 |
1740836030 | Shonna Marie Arnold | Counselor | 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 | 2019-08-13 |
1003468380 | Kiara Danyel Griffin | Counselor | 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 | 2019-07-16 |
1942720669 | Ashley Michelle Puckett | Counselor | 1815 Pleasant Grove Road, Jonesboro, AR 72404 | 2017-06-23 |
1477081669 | Shawn Michael Canty | Case Manager/Care Coordinator | 1815 Pleasant Grove Road, Jonesboro, AR 72401 | 2017-06-01 |
1205376209 | Laura Harmon | Social Worker | 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 | 2017-02-24 |
1164964656 | Amy Renee Williams | Social Worker | 1815 Pleasant Grove Road, Jonesboro, AR 72404 | 2016-11-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740745967 | Imove, LLC | Physical Therapist | 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 | 2019-02-01 |
1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
1619325263 | Kathryn Meyers | Specialist/Technologist | 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 | 2016-05-24 |
1922476571 | Tmj and Facial Pain Center,llc | Dentist | 2600 Browns Lane, Ste B, Jonesboro, AR 72404 | 2015-09-11 |
1265828156 | Hd Dental, Pa Dba Smile Dental | Dentist | 6009 Highway 1 South, Jonesboro, AR 72404 | 2015-04-08 |
1124445358 | Tanner Wilson Jarrett | Occupational Therapy Assistant | 3114 Fox Road Suite A, Jonesboro, AR 72404 | 2014-03-26 |
1154759793 | Kasey Boyd | Specialist/Technologist | 1717 Hwy 163, Jonesboro, AR 72404 | 2013-10-17 |
1578848610 | Maria Ivonne Norman | Physical Therapist | 8700 S. Caraway Rd. Apt. L2, (the Meadows), Jonesboro, AR 72404 | 2011-10-20 |
1003198839 | Rachel Hollimon Golden | Speech-Language Pathologist | 4410 Harrisburg Rd., Jonesboro, AR 72404 | 2011-09-19 |
1225358021 | Darrell R Gann | Physical Therapy Assistant | 6040 Beaver Creek, Jonesboro, AR 72404 | 2010-06-03 |
Find all providers in zip 72404 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083221931 | Smith Counseling Center | Counselor | 517 Southwest Dr Ste H, Jonesboro, AR 72401-5858 | 2020-09-24 |
1548895667 | The Practice: Therapeutic Counseling Services | Counselor | 1407 Marketplace Dr Ste 2, Jonesboro, AR 72401-5271 | 2020-03-09 |
1235769332 | Hilde Nicole White | Counselor | 3707 Harrisburg Rd, Jonesboro, AR 72404-8463 | 2020-01-17 |
1750929196 | Finetra Chambers | Counselor | 194 Jonesboro Rd Ste A7, Jonesboro, GA 30236-2401 | 2019-12-17 |
1881245942 | Business Management Consultants, LLC | Counselor | 409 Arrowhead Blvd Ste C1&c2, Jonesboro, GA 30236-1255 | 2019-09-20 |
1275181216 | Nc Counseling Services, Pllc | Counselor | 2917 King St Ste Cd, Jonesboro, AR 72401-5322 | 2019-09-03 |
1730642588 | Camille Jewel Rowe | Counselor | 9339 Basswood Way, Jonesboro, GA 30236-6194 | 2019-04-09 |
1083185656 | Pia Bhatti | Counselor | 560 Highway 138 W, Jonesboro, GA 30238-2222 | 2018-12-07 |
1609342310 | Kasandra Haynes | Counselor | 4217 Oakhill Ln, Jonesboro, AR 72401-8806 | 2018-10-19 |
1730616798 | The Mentalists Group LLC | Counselor | 124 S Main St Ste 2d, Jonesboro, GA 30236-3502 | 2017-05-20 |
Find all providers in JONESBORO |
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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.