MRS. LYDIA JEANNINE BURRIS LPC
NPI 1306027339
Counselor - Professional in Conway, AR

Active since November 19, 2007
350 SALEM RD STE 1, CONWAY, AR 72034(501) 336-8300(501) 329-5508 Get Directions Write a Review

NPPES record last updated: May 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2020, Aug 31, 2016 (2 updates tracked since 2016).

About Mrs. Lydia Jeannine Burris Lpc NPPES

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

MRS. LYDIA JEANNINE BURRIS LPC (NPI 1306027339) is an individual professional provider in Conway, Arkansas, licensed in Arkansas (P0802024) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1306027339
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. LYDIA JEANNINE BURRISCredential: LPC
Location Address350 SALEM RD STE 1Conway, AR 72034-6166
Mailing Address2400 S 48th StSpringdale, AR 72762-6683 · (479) 750-2020 · Fax (479) 750-4843
Fax(501) 329-5508
Sole ProprietorNo
Enumeration DateNovember 19, 2007
Last NPPES UpdateMay 1, 20202 updates tracked since enumeration
NPPES CertifiedMay 1, 2020
NPI 1306027339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AR · P0802024
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License P0802024 (AR)
350 SALEM RD STE 1, Conway, AR 72034

Other Identifiers 1

Medicaid227121719AR

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.

Case Manager/Care Coordinator
350 SALEM RD STE 1
CONWAY, AR 72034
Case Manager/Care Coordinator
350 SALEM RD STE 1
CONWAY, AR 72034
Nurse Practitioner (Family)
350 SALEM RD STE 1
CONWAY, AR 72034
Case Manager/Care Coordinator
350 SALEM RD STE 1
CONWAY, AR 72034
Case Manager/Care Coordinator
350 SALEM RD STE 1
CONWAY, AR 72034
Case Manager/Care Coordinator
350 SALEM RD STE 1
CONWAY, AR 72034
Case Manager/Care Coordinator
350 SALEM RD STE 1
CONWAY, AR 72034
Social Worker (Clinical)
350 SALEM RD STE 1
CONWAY, AR 72034

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 Lydia Burris's NPI number?

The NPI number for Lydia Burris is 1306027339. It was assigned to this individual provider in the NPPES registry on November 19, 2007.

Where is Lydia Burris located?

Lydia Burris practices at 350 Salem Rd Ste 1, Conway, AR 72034. The listed phone number is (501) 336-8300.

What is Lydia Burris's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Lydia Burris was last updated on May 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.