Healthcare Provider Details

I. General information

NPI: 1770979791
Provider Name (Legal Business Name): JOHN BURKIN LPC, LMHC, LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2015
Last Update Date: 09/28/2025
Certification Date: 09/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 MAIN ST
BOGALUSA LA
70427-6211
US

IV. Provider business mailing address

1127 MAIN ST
BOGALUSA LA
70427-6211
US

V. Phone/Fax

Practice location:
  • Phone: 504-344-9272
  • Fax: 504-270-1292
Mailing address:
  • Phone: 504-344-9272
  • Fax: 504-270-1292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH10655
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCCMH0192341
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCP3264-R
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number004576
License Number StatePR
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701012168
License Number StateVA
# 6
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7441
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: