Individual provider Active NPI

Marilyn T Burns, LPCC

  • Professional Counselor
  • Youngstown, OH
National Provider Identifier
1285727800
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0000400 Issued in OH
Practice address
837 Boardman Canfield Rd Ste 206
Youngstown, OH 44512-4217
Phone
(330) 629-2980
Fax
(330) 629-6071
NPI assigned
Oct 2, 2006
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 E0000400 OH Primary

Addresses

Primary practice location

837 Boardman Canfield Rd Ste 206
Youngstown, OH 44512-4217

Mailing address

837 Boardman Canfield Rd Ste 206
Youngstown, OH 44512-4217
Phone (330) 629-2980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240223003878 OH Practitioner - Mental Health Counselor 4082058045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

837 Boardman Canfield Rd
Suite 206
Boardman, OH 44512-4217
Phone (330) 272-8980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0000400OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Treat Yourself, Inc. Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

837 Boardman Canfield Rd
Ste 206
Youngstown, OH 44512
Phone (330) 272-8980

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1285727800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 BOARDMAN CANFIELD RD STE 206",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124217",
            "telephone_number": "330-629-2980",
            "fax_number": "330-629-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 BOARDMAN CANFIELD RD STE 206",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124217",
            "telephone_number": "330-629-2980",
            "fax_number": "330-629-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "MARILYN",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0000400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.