JEREMIAH W BURKHART, Psy.D. — NPI 1104112986 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1104112986

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TC1900X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Counseling

Box 32 Service Location & ZIP+4

180 FERRUM MOUNTAIN RD, FERRUM, VA, 24088-2939

✓ 9-Digit EDI 837 ZIP+4 (24088-2939)

Practice Phone & Referral Fax

(540) 365-4469

Fax: (540) 365-4272

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104112986 (JEREMIAH W BURKHART, Psy.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1104112986` (NPI-1 Individual Practitioner)
Provider / Legal Name	JEREMIAH W BURKHART, Psy.D.
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Counseling NUCC Code: `103TC1900X` (Psychologist, Counseling)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	180 FERRUM MOUNTAIN RD, FERRUM, VA, 24088-2939
Practice Telephone / Fax	Tel: (540) 365-4469 \| Fax: (540) 365-4272
Administrative Mailing Address	PO BOX 9, LAUREL FORK, VA, 24352-0009
Enumeration & Last Sync	Enumerated: 2011-06-21 \| CMS Record Updated: 2023-12-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

180 FERRUM MOUNTAIN RD, FERRUM, VA, 24088-2939

🗺️ Open in Google Maps 🏥 More Providers in FERRUM

🔒 Are you JEREMIAH W BURKHART, Psy.D.? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (103TC1900X)

What Does Taxonomy Code 103TC1900X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TC1900X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Counseling"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Counseling for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JEREMIAH W BURKHART, Psy.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TC1900X` — Psychologist, Counseling Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Counseling	State: VA \| License: `0810006349` \| Primary: Yes (Primary)
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: VA \| License: `0810006349` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

JEREMIAH W BURKHART, Psy.D. (NPI #1104112986)