DR. JEREMIAH W BURKHART (PSY.D.) – Counseling Psychologist, NPI 1104112986

DR. JEREMIAH W BURKHART (PSY.D.) is a healthcare provider. based in Ferrum, Virginia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 0810006349 (VA). The NPI Number for DR. JEREMIAH W BURKHART (PSY.D.) is 1104112986

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEREMIAH W BURKHART (PSY.D.)
NPI
1104112986
Phone
(540) 365-4469
Address
180 FERRUM MOUNTAIN RD
Enumeration Date
21 June 2011
Last Update Date
13 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8883745066
Graduation Year
2019 (7 years ago)
PAC ID
9537594981
Group Practice PAC ID
5991064420
Professional Enrollment ID
I20250417002212
Address ID
TN370676030FR5030XPKWY301

Contacts

Main Contact
Notapplicable
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

667 CLINICAL PSYCHOLOGIST in VA

Provider Addresses for DR. JEREMIAH W BURKHART (PSY.D.)

  • 180 FERRUM MOUNTAIN RD

    FERRUM, VA 240882939

    Phone: (540) 365-4469

    Fax: (540) 365-4272

    Type: Location

  • PO BOX 9

    LAUREL FORK, VA 243520009

    Phone: (276) 398-1214

    Fax: (276) 398-1234

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250417002212IClinical PsychologistTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes2311$0
View full utilization report →

Insurance plans in this area (ZIP 24088)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991064420View full group profile
NameSpecialtyState
Mental Health CounselorWY
Physician AssistantTN
Physician AssistantTX
Clinical PsychologistIL
Clinical Social WorkerCO
Physician AssistantCO
Psychiatry, Pediatric MedicineCO
Marriage And Family TherapistCO
Mental Health CounselorTN
Physician AssistantNC

Reviews

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Frequently asked questions

What is the standard ID for DR. JEREMIAH W BURKHART (PSY.D.) in the U.S.?
In the U.S., DR. JEREMIAH W BURKHART (PSY.D.) is identified by NPI 1104112986.
Is DR. JEREMIAH W BURKHART (PSY.D.)'s NPI status active today?
Active status means DR. JEREMIAH W BURKHART (PSY.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. JEREMIAH W BURKHART (PSY.D.)?
NPPES ties DR. JEREMIAH W BURKHART (PSY.D.) to Counseling Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. JEREMIAH W BURKHART (PSY.D.) tied to Ferrum, Virginia?
If you are local to Ferrum, Virginia, DR. JEREMIAH W BURKHART (PSY.D.) may be relevant to your search.
Why is information missing for DR. JEREMIAH W BURKHART (PSY.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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