Carl Anthony Burroughs, RADTI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1553480324 Issued in CA

Practice address

750 E Orange Grove Blvd
Pasadena, CA 91104-4453

Phone

(626) 398-3897

Fax

(626) 345-5440

NPI assigned

Apr 4, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1205688934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ORANGE GROVE BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044453",
            "telephone_number": "626-398-3897",
            "fax_number": "626-345-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ORANGE GROVE BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044453",
            "telephone_number": "626-398-3897",
            "fax_number": "626-345-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "CARL",
        "middle_name": "ANTHONY",
        "credential": "RADTI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1553480324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Warren Burns Jr., CADCA
• William Burns
• Mackenzie Laurlei Burpee
• Nickolaus Burrell
• Heather Burress, CMT
• Melissa Burroughs, MSW
• Patricia Burson, DPT
• Lauren Burt, MA
• Derrick Keith Burton
• Mikki Levi Buschauer, M.S. LMFT

• Addiction (Substance Use Disorder) Counselor in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.