Paul Joseph Burns
Individual provider Active NPI Mental Health Counselor · Sparta, NJ
NPI 1063283240 · NPPES record last updated Jan 15, 2024
Key facts
- NPI
- 1063283240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 37PC00998300 (NJ)
- Practice address
- 9 Fishers LN
Sparta, NJ 07871-2440 - Phone
- (973) 726-4533
- NPI assigned
- Jan 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeside Counseling Associates, LLC
Practice addresses (Care Compare)
30 Moran St
Newton, NJ 07860-1832
Phone (973) 726-4533
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250514003263 | NJ | Practitioner - Mental Health Counselor | 4981122884 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Counseling Associates, LLC | Mental Health | Current |
Accepting new patients |
Locations
30 Moran St
Newton, NJ 07860
Phone (973) 579-3101
9 Fishers Ln
Sparta, NJ 07871
Phone (973) 671-8786
9 Fishers Ln
Ste E
Sparta, NJ 07871
Phone (973) 600-3558
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00998300 | NJ | Yes |
Addresses
Primary practice location
9 Fishers LN
Sparta, NJ 07871-2440
Mailing address
PO Box 91
Vernon, NJ 07462-0091
Phone (845) 544-6478
Other providers in Sparta, NJ
- Emily Elizabeth Brislin
- Broadstep Academy-New Jersey, Inc.
- Broadstep Academy-New Jersey, Inc.
- Regina Bronstein
- Michele W Buchbauer
- Andrey L Byers
- Craig Joseph Byers
- Joseph N Byrne
- Kelsey Byrnes
- Michael Charles Cabassa
All providers in Sparta, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.