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NPI Code Detail

MEDICARE: MR. JEFFREY DAVID BURT LPC, LAC

MEDICARE:  MR. JEFFREY DAVID BURT  LPC, LAC
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
1101YM0800XMental Health CounselorLH61336704WA
2101Y00000XCounselor180007370IL
3101YP2500XProfessional CounselorLPC.0005795CO
4101YA0400XAddiction (Substance Use Disorder) CounselorACD0000409CO

General Provider Information

NPI Number : 1558673459
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY DAVID BURT LPC, LAC
Provider Business Mailing Address
First Line : 5850 CENTRAL AVE UNIT 327
Second Line :
City : WESTMINSTER
State : CO
Zip : 80031-2979
Country : US
Telephone Number : 720-636-5922
Fax Number :
Provider Business Practice Location Address
First Line : 5850 CENTRAL AVE UNIT 327
Second Line :
City : WESTMINSTER
State : CO
Zip : 80031-2979
Country : US
Telephone Number : 720-636-5922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2010
Last Update Date : 04/23/2026

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Directions to “ MR. JEFFREY DAVID BURT LPC, LAC” Practice Location

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