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JASON BURNETT MSED, MA
NPI 1104219922
Counselor in Fort Wayne, IN

Active since March 18, 2015
909 E STATE BLVD, FORT WAYNE, IN 46805(260) 481-2700(260) 481-2709 Get Directions Write a Review

NPPES record last updated: March 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jason Burnett Msed, Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON BURNETT MSED, MA (NPI 1104219922) is an individual counselor in Fort Wayne, Indiana and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1104219922
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJASON BURNETTCredential: MSED, MA
Location Address909 E STATE BLVDFort Wayne, IN 46805-3404
Mailing Address909 E State BlvdFort Wayne, IN 46805-3404 · (260) 481-2700 · Fax (260) 481-2709
Phone(260) 481-2700
Fax(260) 481-2709
Sole ProprietorNo
Enumeration DateMarch 18, 2015
✔ NPI 1104219922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
909 E STATE BLVD, Fort Wayne, IN 46805
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY LESLEY WASHINGTON
Counselor
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
JENNIFER PERRY MS
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
MICHELLE ELISE WIESE MD
Psychiatry & Neurology (Psychiatry)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
SARAH MICHELLE MOORE APRN-CNM, PMHNP-BC
Nurse Practitioner
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
JULIE NAY WINN BS
Case Manager/Care Coordinator
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
TONYA J EIDEN LMHC, MS
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
ANGELA C DESPENZA LPN
Licensed Practical Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
MEGAN I FIGUEROA RN
Registered Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Burnett's NPI number?

The NPI number for Jason Burnett is 1104219922. It was assigned to this individual provider in the NPPES registry on March 18, 2015.

Where is Jason Burnett located?

Jason Burnett practices at 909 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 481-2700.

What is Jason Burnett's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jason Burnett was last updated on March 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.