Individual provider Active NPI

Gerald A Burrows Jr., LCPC LADC CCS

  • Professional Counselor
  • Yarmouth, ME
National Provider Identifier
1154691459
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC4266 Issued in ME
Practice address
90 Portland St
Yarmouth, ME 04096-6769
Phone
(207) 752-3569
NPI assigned
Jan 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC5211 ME
Professional Counselor 101YP2500X CC4266 ME Primary

Addresses

Primary practice location

90 Portland St
Yarmouth, ME 04096-6769

Mailing address

90 Portland St
Yarmouth, ME 04096-6769
Phone (207) 752-3569

Other practice location 1

306 Rodman Rd
Auburn, ME 04210-3830
Phone (207) 333-3278 ext. 275

Other practice location 2

11 Baxter Blvd
2nd floor
Portland, ME 04101-1801
Phone (207) 775-5671 ext. 5352

Other practice location 3

16 Lincoln St
Brunswick, ME 04011-1900
Phone (207) 390-9653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20240604001064 ME Practitioner - Mental Health Counselor 6800338047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Counseling Center of Nashua IncGroup PAC ID 3274523758, 250 clinicians

Practice addresses (Care Compare)

10 Market St
Suite 205
Scarborough, ME 04074-7683
Phone (207) 503-3583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC5211MEMDAddiction (Substance Use Disorder) Counselor
CC4266MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center of Nashua Inc Addiction (Substance Use Disorder) CurrentSince Jun 1, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

16 Lincoln St
Ste C
Brunswick, ME 04011
Phone (207) 400-2454

11 Baxter Blvd
Fl 2
Portland, ME 04101
Phone (207) 775-5671

53 Baxter Blvd
Portland, ME 04101
Phone (207) 245-1648

53 Baxter Blvd
Ste 3
Portland, ME 04101
Phone (207) 613-4115

10 Market St
Ste 205
Scarborough, ME 04074
Phone (207) 503-3583

707 Sable Oaks Dr
Ste 230
South Portland, ME 04106
Phone (207) 387-0801

1 Main St
Nashua, NH 03064
Phone (603) 689-7978

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, 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": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1154691459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PORTLAND ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966769",
            "telephone_number": "207-752-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PORTLAND ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966769",
            "telephone_number": "207-752-3569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Rodman Rd",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042103830",
            "country_code": "US",
            "telephone_number": "207-333-3278 x275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Baxter Blvd",
            "address_2": "2nd floor",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041011801",
            "country_code": "US",
            "telephone_number": "207-775-5671 x5352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040111900",
            "country_code": "US",
            "telephone_number": "207-390-9653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURROWS",
        "first_name": "GERALD",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "LCPC LADC CCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-04",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC5211",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC4266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

Verify at the official NPI Registry.