Individual provider Active NPI

Mercedes Burk, LPC. LMFT

  • Professional Counselor
  • Forney, TX
National Provider Identifier
1013367390
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70303 Issued in TX
Practice address
3145 Marble Falls Dr
Forney, TX 75126-6696
Phone
(972) 740-7632
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 70303 TX Primary
Marriage & Family Therapist 106H00000X 202295 TX

Addresses

Primary practice location

3145 Marble Falls Dr
Forney, TX 75126-6696

Mailing address

3145 Marble Falls Dr
Forney, TX 75126-6696
Phone (972) 740-7632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626001237 TX Practitioner - Marriage and Family Therapist 6507300050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Chapter Counseling, PLLCGroup PAC ID 6406390954, 2 clinicians

Practice addresses (Care Compare)

1101 Ridge Rd
Suite 224
Rockwall, TX 75087-4233
Phone (972) 961-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70303TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Chapter Counseling PLLC Professional CurrentSince Apr 20, 2024 Accepting new patients

Locations

1101 Ridge Rd
Ste 226227
Fate, TX 75087
Phone (972) 961-1010

102 E Broad St
Unit 2375
Forney, TX 75126

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1013367390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 MARBLE FALLS DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266696",
            "telephone_number": "972-740-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 MARBLE FALLS DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266696",
            "telephone_number": "972-740-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "MERCEDES",
        "credential": "LPC. LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70303",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

Verify at the official NPI Registry.