Active NPI
Deirdre Yvette Burton, LMFT
- Marriage & Family Therapist
- Indianapolis, IN
National Provider Identifier
1043389968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35001835A
- Practice address
- 911 E 86TH St Ste 60
Indianapolis, IN 46240 - Phone
- (317) 520-1153
- NPI assigned
- Nov 7, 2006
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 31002783A | IN | |
| Marriage & Family Therapist | 106H00000X | 35001835A | IN | Primary |
Addresses
Primary practice location
911 E 86TH St Ste 60
Indianapolis, IN 46240
Mailing address
PO Box 53373
Indianapolis, IN 46253-0373
Phone (317) 496-5484
Other practice location 1
911 E 86th St Ste 60
Indianapolis, IN 46240
Phone (317) 520-1153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 17, 2024 through Dec 17, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35001835A | IN | MD | Marriage & Family Therapist |
| 31002783A | IN | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Well Therapies | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Indianapolis, IN
- NPI 1073957379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1043389968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53373",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462530373",
"telephone_number": "317-496-5484",
"fax_number": "317-852-2712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 E 86TH ST STE 60",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46240",
"telephone_number": "317-520-1153"
}
],
"practiceLocations": [
{
"address_1": "911 E 86th St Ste 60",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "46240",
"country_code": "US",
"telephone_number": "317-520-1153",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURTON",
"first_name": "DEIRDRE",
"middle_name": "YVETTE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "IN",
"license": "31002783A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35001835A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.