MEDICARE: JENNIFER BURKHARDT LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	66909	TX
2	101YP2500X	Professional Counselor	66909	TX

General Provider Information

NPI Number	:	1760876023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER BURKHARDT LPC

Provider Business Mailing Address
First Line	:	822 BUOY RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-4208
Country	:	US
Telephone Number	:	713-855-5772
Fax Number	:

Provider Business Practice Location Address
First Line	:	822 BUOY RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-4208
Country	:	US
Telephone Number	:	713-855-5772
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2015
Last Update Date	:	09/09/2025

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