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TIMOTHY BURKS
NPI 1497200596
Counselor - Mental Health in Jonesboro, AR

Active since August 18, 2016PECOS Enrolled
2200 E MATTHEWS AVE, JONESBORO, AR 72401(870) 972-1268 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2020, Aug 18, 2016 (2 updates tracked since 2016).

About Timothy Burks NPPES

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

TIMOTHY BURKS (NPI 1497200596) is an individual mental health provider in Jonesboro, Arkansas and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497200596
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTIMOTHY BURKS
Location Address2200 E MATTHEWS AVEJonesboro, AR 72401-4347
Mailing Address2809 Forest Home RdJonesboro, AR 72401-5320 · (866) 972-1268
Phone(870) 972-1268
Sole ProprietorNo
Enumeration DateAugust 18, 2016
Last NPPES UpdateSeptember 16, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
✔ NPI 1497200596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2200 E MATTHEWS AVE, Jonesboro, AR 72401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Burks is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Burks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Secure Foundation Counseling PLLC
2.0 mi
Mental Health (Including Community Mental Health Center)
818 E MATTHEWS AVE
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 3 clinicians in this Medicare group
NPI 1073113650 (870) 218-1722

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TERA COPELAND
Social Worker
2200 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 972-1268
MARIKA SHEPPARD
Social Worker
2200 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 972-1268
FRANK MULL
Case Manager/Care Coordinator
2200 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 972-1268
MR. NATHAN WALTERS
Case Manager/Care Coordinator
2200 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 972-1268
TINA TUBERVILLE
Case Manager/Care Coordinator
2200 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 972-1268
DANYSHA DUDLEY QBHP
Case Manager/Care Coordinator
2200 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 972-1268
CARRIE ELAM LPC
Counselor (Professional)
2200 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 972-1268
TERRI CLARK
Social Worker
2200 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 972-1268

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 Timothy Burks's NPI number?

The NPI number for Timothy Burks is 1497200596. It was assigned to this individual provider in the NPPES registry on August 18, 2016.

Where is Timothy Burks located?

Timothy Burks practices at 2200 E Matthews Ave, Jonesboro, AR 72401. The listed phone number is (870) 972-1268.

What is Timothy Burks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Timothy Burks enrolled in Medicare?

Yes. Timothy Burks is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timothy Burks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Burks reassigns Medicare benefits to Secure Foundation Counseling PLLC (Jonesboro, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Burks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Burks accept?

Health plans from Health Advantage and Octave list Timothy Burks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Burks was last updated on September 16, 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.