Individual provider Active NPI

Teri Tallent Burns, LCPC

  • Professional Counselor
  • Columbia, MD
National Provider Identifier
1265696728
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1667 Issued in MD
Practice address
9520 Berger Rd
#203
Columbia, MD 21046-1501
Phone
(410) 290-6940
Fax
(443) 279-0537
NPI assigned
Jul 14, 2008
Last updated
Mar 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC1667 MD Primary

Addresses

Primary practice location

9520 Berger Rd
#203
Columbia, MD 21046-1501

Mailing address

120 Sister Pierre Dr
#403
Towson, MD 21204-7516
Phone (410) 823-6408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240130002954 MD Practitioner - Mental Health Counselor 2163875717 Reassigns benefits to 1 organization
I20240131000070 DC Practitioner - Mental Health Counselor 2163875717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

Practice addresses (Care Compare)

1447 York Rd
Suite 601
Lutherville, MD 21093-6034
Phone (410) 823-6408

9715 Medical Ctr Dr
Suite 528
Rockville, MD 20850-3352
Phone (410) 823-6408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neta, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Psych Associates of Maryland LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (205) 593-7605

9520 Berger Rd
Ste 203
Columbia, MD 21046
Phone (410) 290-6940

9891 Broken Land Pkwy
Ste 210
Columbia, MD 21046
Phone (667) 220-7868

9715 Medical Center Dr
Ste 528
Rockville, MD 20850
Phone (301) 340-1355

1447 York Rd
Ste 601
Timonium, MD 21093
Phone (667) 220-0097

1954 Greenspring Dr
Ste 530
Timonium, MD 21093
Phone (240) 441-9858

2331 York Rd
Ste 100
Timonium, MD 21093

120 Sister Pierre Dr
Ste 403
Towson, MD 21204
Phone 4108236408104

Interoperability endpoints

  • Direct secure messaging: bloomhealthcenters.teriburns@131200.advancedmd-direct.com

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1265696728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR",
            "address_2": "#403",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047516",
            "telephone_number": "410-823-6408",
            "fax_number": "443-279-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 BERGER RD",
            "address_2": "#203",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461501",
            "telephone_number": "410-290-6940",
            "fax_number": "443-279-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "TERI",
        "middle_name": "TALLENT",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.