Active NPI
Anne Devon Dutcher Burnore, LPC, LCMHC, LCAS
- Professional Counselor
- Pinehurst, NC
National Provider Identifier
1063775971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8005
- Practice address
- 222 Central Park Ave Ste E565
Pinehurst, NC 28374-8803 - Phone
- (910) 773-1112
- NPI assigned
- Jun 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PRC200001424 | DC | |
| Professional Counselor | 101YP2500X | 8005 | NC | Primary |
| Mental Health Counselor | 101YM0800X | 0014757 | CO | |
| Mental Health Counselor | 101YM0800X | 0701013379 | VA | |
| Mental Health Counselor | 101YM0800X | CTB-2023-1040 | NM |
Addresses
Primary practice location
222 Central Park Ave Ste E565
Pinehurst, NC 28374-8803
Mailing address
222 Central Park Ave Ste E565
Pinehurst, NC 28374-8803
Phone (910) 773-1112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 513085 | Other | NC | MHN |
| 6115075 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0014757 | CO | MD | Mental Health Counselor |
| PRC200001424 | DC | MD | Mental Health Counselor |
| CTB-2023-1040 | NM | MD | Mental Health Counselor |
| 0701013379 | VA | MD | Mental Health Counselor |
| 8005 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1063775971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 CENTRAL PARK AVE STE E565",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748803",
"telephone_number": "910-773-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 CENTRAL PARK AVE STE E565",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748803",
"telephone_number": "910-773-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNORE",
"first_name": "ANNE DEVON",
"middle_name": "DUTCHER",
"name_prefix": "Mrs.",
"credential": "LPC, LCMHC, LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-18",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "PRC200001424",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8005",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0014757",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701013379",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CTB-2023-1040",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "513085",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6115075",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.