MEDICARE: MRS. JANIS FARMER BURNS LPC LMFT

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	101Y00000X	Counselor	LPC 3281	LA
2	106H00000X	Marriage & Family Therapist	MFT 1071	LA

General Provider Information

NPI Number	:	1164599676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANIS FARMER BURNS LPC LMFT

Provider Business Mailing Address
First Line	:	734 CHINQUAPIN DRIVE
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71106
Country	:	US
Telephone Number	:	318-469-6514
Fax Number	:	318-424-6771

Provider Business Practice Location Address
First Line	:	1622 HIGHLANDS AVENUE
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71101
Country	:	US
Telephone Number	:	318-424-0016
Fax Number	:	318-424-6771

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

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	09/11/2025

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