Active NPI
Macie Mia Burnett, MSW
- Social Worker
- Syracuse, UT
National Provider Identifier
1003602905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1747 Heritage LN Ste B101
Syracuse, UT 84075-8546 - Phone
- (801) 896-0793
- NPI assigned
- Apr 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1747 Heritage LN Ste B101
Syracuse, UT 84075-8546
Mailing address
2801 W 1075 S
Syracuse, UT 84075-5142
Phone (801) 882-3273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anson Family Counseling, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
1747 Heritage Ln
Ste B101
Syracuse, UT 84075
Phone (385) 439-1926
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1003602905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 W 1075 S",
"city": "SYRACUSE",
"state": "UT",
"postal_code": "840755142",
"telephone_number": "801-882-3273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1747 HERITAGE LN STE B101",
"city": "SYRACUSE",
"state": "UT",
"postal_code": "840758546",
"telephone_number": "801-896-0793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "MACIE",
"middle_name": "MIA",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-17",
"last_updated": "2025-04-17",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.