Jason Burnett, MSEd, MA
Counselor in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1104219922
StatusActive
Last updated in NPPESMar 18, 2015
Details
- NPI
- 1104219922
- Entity type
- Individual (NPI-1)
- Name
- Jason Burnett
- Credential
- MSEd, MA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2015
- Last updated
- Mar 18, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
909 E State BlvdFort Wayne, IN 46805-3404
Phone 260-481-2700 · Fax 260-481-2709
Mailing address
909 E State BlvdFort Wayne, IN 46805-3404
Phone 260-481-2700 · Fax 260-481-2709
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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