Provider Demographics
NPI:1770979791
Name:BURKIN, JOHN (LPC, LMHC, LPCC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:BURKIN
Suffix:
Gender:M
Credentials:LPC, LMHC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 DAUPHINE ST APT 1A
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-3468
Mailing Address - Country:US
Mailing Address - Phone:504-344-9272
Mailing Address - Fax:504-270-1292
Practice Address - Street 1:438 DAUPHINE ST APT 1A
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-3468
Practice Address - Country:US
Practice Address - Phone:504-344-9272
Practice Address - Fax:504-270-1292
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-07
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10655101YM0800X
NMCCMH0192341101YP2500X
NVCP3264-R101YP2500X
VA0701012168101YP2500X
PR004576101YP2500X
LA7441101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health