Elizabeth A Burr, LPCC
Individual provider Active NPI Counselor · Deming, NM
NPI 1184950966 · NPPES record last updated Oct 28, 2009
Key facts
- NPI
- 1184950966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 0059 (NM)
- Practice address
- 5545 Dona Ana Rd SE
Deming, NM 88030-8447 - Phone
- (575) 546-5574
- NPI assigned
- Oct 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0059 | NM | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0059 | NM | Yes |
Addresses
Primary practice location
5545 Dona Ana Rd SE
Deming, NM 88030-8447
Mailing address
PO Box 94
Deming, NM 88031-0094
Phone (575) 546-5574
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0059 | Other | NM | 0059 LPCC, STATE OF NEW MEXICO |
Other providers in Deming, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.