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1720721558 NPI number — FELISS BURNS MA, LPC, NCC, CRC

NPI Number: 1720721558
Health Care Provider/Practitioner: FELISS BURNS MA, LPC, NCC, CRC

Information about “1720721558” NPI (FELISS BURNS MA, LPC, NCC, CRC) exists in 1720721558 in HTML format HTML  |  1720721558 in plain Text format TXT  |  1720721558 in PDF (Portable Document Format) PDF  |  1720721558 in an XML format XML  formats.

NPI Number : 1720721558 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720721558",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BURNS",
    "FirstName": "FELISS",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, LPC, NCC, CRC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GOREE",
    "OtherFirstName": "FELISS",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "515 N SAM HOUSTON PKWY E",
    "SecondLineMailingAddress": "STE. 208 #1022",
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77060-4034",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-779-1928",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "515 N SAM HOUSTON PKWY E",
    "SecondLinePracticeLocationAddress": "STE 208 #1022",
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77060-4034",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-779-1928",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/19/2022",
    "LastUpdateDate": "09/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "88374",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "10593",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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