JERRY MICHAEL BURTON LPCC
NPI 1770674186
Counselor - Mental Health in Campbellsville, KY
About Jerry Michael Burton Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY MICHAEL BURTON LPCC (NPI 1770674186) is an individual mental health provider in Campbellsville, Kentucky, licensed in Kentucky (301) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jerry Michael Burton Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jerry Burton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lebanon, KY 40033
- Reassigned Medicare billing, Kentucky enrollment
- 47 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jerry Burton's NPI number?
The NPI number for Jerry Burton is 1770674186. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Jerry Burton located?
Jerry Burton practices at 109 Nancy Cox Dr, Campbellsville, KY 42718. The listed phone number is (270) 572-1290.
What is Jerry Burton's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jerry Burton enrolled in Medicare?
Yes. Jerry Burton is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jerry Burton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Burton reassigns Medicare benefits to Communicare Inc (Lebanon, KY). 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 Jerry Burton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jerry Burton was last updated on March 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jerry Michael Burton, LPCC · NPI 1770674186
Mental Health provider in Campbellsville, Kentucky. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1770674186 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 301 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 109 NANCY COX DR, Campbellsville, KY 42718-8898
- **Phone:** (270) 572-1290
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Communicare Inc (NPI 1013054451, Lebanon, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1770674186) · Data from the CMS NPPES public registry.