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JASON JON BURRIS MS, LISAC
NPI 1871175307
Counselor - Addiction (Substance Use Disorder) in Kingman, AZ

Active since April 23, 2021
3505 WESTERN AVE, KINGMAN, AZ 86409(928) 757-8111 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2024, Apr 23, 2021 (2 updates tracked since 2021).

About Jason Jon Burris Ms, Lisac NPPES

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

JASON JON BURRIS MS, LISAC (NPI 1871175307) is an individual addiction (substance use disorder) provider in Kingman, Arizona, licensed in Arizona (LISAC-6894T) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1871175307
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJASON JON BURRISCredential: MS, LISAC
Location Address3505 WESTERN AVEKingman, AZ 86409-3071
Mailing Address552 Ramar RdBullhead City, AZ 86442-6215 · (928) 266-9024
Phone(928) 757-8111
Sole ProprietorYes
Enumeration DateApril 23, 2021
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1871175307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in AZ · LISAC-6894T
3505 WESTERN AVE, Kingman, AZ 86409
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Other Providers at the Same Location NPPES 17

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

ROBERTO HERNANDEZ TORRES MSW
Social Worker (Clinical)
3505 WESTERN AVE
KINGMAN, AZ 86409
Mohave County (928) 757-8111
NORTH COUNTRY HEALTHCARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
3505 WESTERN AVE
KINGMAN, AZ 86409
Mohave County (928) 753-1177
STEVEN KORONA MSN, RN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3505 WESTERN AVE
KINGMAN, AZ 86409
Mohave County (928) 757-8111
EOLA SHELLY FOWLER
Counselor (Mental Health)
3505 WESTERN AVE
KINGMAN, AZ 86409
Mohave County (928) 757-8111
SHARON ELLEN OMALLEY PA C
Physician Assistant
3505 WESTERN AVE, MOHAVE MENTAL HEALTH CLINIC INC
KINGMAN, AZ 86409
Mohave County (928) 757-8111
MRS. CARRIE ANN TRUELOVE-HERNANDEZ LICENSED PROFESSIONA
Counselor
3505 WESTERN AVE, MOHAVE MENTAL HEALTH CLINIC INC
KINGMAN, AZ 86409
Mohave County (928) 757-8111
MS. DAWN DYAN ABBOTT MA
Counselor
3505 WESTERN AVE
KINGMAN, AZ 86409
Mohave County (928) 757-8111
KRISTINE K HYATT LCSW
Social Worker (Clinical)
3505 WESTERN AVE
KINGMAN, AZ 86409
Mohave County (928) 757-8111

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 Burris's NPI number?

The NPI number for Jason Burris is 1871175307. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Jason Burris located?

Jason Burris practices at 3505 Western Ave, Kingman, AZ 86409. The listed phone number is (928) 757-8111.

What is Jason Burris's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jason Burris was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.