MRS. LYDIA JEANNINE BURRIS LPC
NPI 1306027339
Counselor - Professional in Conway, AR
NPI Status: Active since November 19, 2007
Contact Information
350 SALEM RD STE 1
CONWAY, AR
ZIP 72034
Phone: (501) 336-8300
Fax: (501) 329-5508
- Individual
- Female
- Counselor
- Professional
About LYDIA BURRIS
This page provides the complete NPI Profile along with additional information for Lydia Burris, a provider established in Conway, Arkansas with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1306027339 assigned on November 2007. The practitioner's primary taxonomy code is 101YP2500X with license number P0802024 (AR). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1306027339
- Provider Name
- MRS. LYDIA JEANNINE BURRIS LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 350 SALEM RD STE 1 CONWAY, AR 72034
- Location Phone
- (501) 336-8300
- Location Fax
- (501) 329-5508
- Mailing Address
- 2400 S 48TH ST SPRINGDALE, AR 72762
- Mailing Phone
- (479) 750-2020
- Mailing Fax
- (501) 329-5508
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-19-2007
- Last Update Date
- 05-01-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- P0802024
- License State
- AR
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | P0802024 (AR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 227121719 | MEDICAID (05) | AR |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 0 | 6 | 0 | 2 | 7 | 3 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 0 | 2 | 14 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 0 + 2 + 1 + 4 + 3 + 6 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1306027339 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1851417588 | SHALON HOLLOWAY CASE MANAGER Individual | Case Manager/Care Coordinator | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1902929417 | AMBER MCKENZIE LPC Individual | Counselor (Mental Health) | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1871718890 | JENNIFER MIDDLETON MD Individual | Psychiatry & Neurology (Psychiatry) | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1114333424 | MORGAN GATTO Individual | Case Manager/Care Coordinator | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1528437167 | ELIZABETH WEBSTER Individual | Case Manager/Care Coordinator | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1144680232 | BRANDI WISEMAN Individual | Case Manager/Care Coordinator | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1063863389 | CARINA MARTINEZ Individual | Case Manager/Care Coordinator | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1922517440 | KATHERINE BAXTER Individual | Case Manager/Care Coordinator | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1821508797 | LESLIE SPURGERS Individual | Case Manager/Care Coordinator | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1922519362 | KATY CARNAHAN Individual | Case Manager/Care Coordinator | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1619474772 | ASHLEY JANE PRUITT RN Individual | Registered Nurse | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1487993655 | JUDY WEAVER Individual | Peer Specialist | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1598200982 | RAVEN SYMONE JONES Individual | Case Manager/Care Coordinator | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1548814882 | LINDSEY PAIGE LAMB Individual | Case Manager/Care Coordinator | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1689215717 | TRACI TEMPLES Individual | Case Manager/Care Coordinator | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1942846456 | BRIANA GEAN POPE LAC Individual | Counselor (Mental Health) | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1508968140 | MONICA ANNE DUNN LCSW Individual | Social Worker (Clinical) | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1467580076 | CHRISTIE JONES LMSW Individual | Social Worker | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1124266598 | DEBORAH KAYE BASKINS LCSW Individual | Social Worker (Clinical) | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
| 1417506197 | HALEY JEHREE GLOVER LAC Individual | Counselor (Mental Health) | 350 SALEM RD STE 1 CONWAY, AR 72034 (501) 336-8300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306027339, enumerated in the NPI registry as an "individual" on November 19, 2007
The provider is located at 350 Salem Rd Ste 1 Conway, Ar 72034 and the phone number is (501) 336-8300
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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