Individual provider Active NPI

Arthur Harry Burris, LCPC

  • Mental Health Counselor
  • Abingdon, MD
National Provider Identifier
1124341482
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC0372 Issued in MD
Practice address
3105 Emmorton Rd
Abingdon, MD 21009-2582
Phone
(410) 569-5900
Fax
(410) 569-7751
NPI assigned
Mar 1, 2010
Last updated
Dec 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC0372 MD Primary

Addresses

Primary practice location

3105 Emmorton Rd
Abingdon, MD 21009-2582

Mailing address

2804 Grier Nursery Rd
Forest Hill, MD 21050-1523
Phone (410) 420-0304

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

LicenseStateTypeSpecialty
LC0372MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emmorton Treatment Services Past Accepting new patients
Emmorton Psych Chartered Mental Health Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1124341482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 GRIER NURSERY RD",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210501523",
            "telephone_number": "410-420-0304",
            "fax_number": "410-420-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 EMMORTON RD",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092582",
            "telephone_number": "410-569-5900",
            "fax_number": "410-569-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "ARTHUR",
        "middle_name": "HARRY",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-01",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC0372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.