Colyn Patrick Burbank, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

309 Court Ave Ste 241
Des Moines, IA 50309-2282

Phone

(515) 901-2974

Fax

(515) 875-4817

NPI assigned

Oct 29, 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

Enrolled in IA

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sampson Family Therapy Services LLCGroup PAC ID 6800292640, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sampson Family Therapy Services LLC

  • Marriage & Family Therapist
  • Des Moines, IA
  • NPI 1619377595
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1306668405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 COURT AVE STE 241",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092282",
            "telephone_number": "515-901-2974",
            "fax_number": "515-875-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 COURT AVE STE 241",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092282",
            "telephone_number": "515-901-2974",
            "fax_number": "515-875-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBANK",
        "first_name": "COLYN",
        "middle_name": "PATRICK",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Bunch, LMHC
• Troy Matthew Bunch
• Steven M Bunge, MD
• Nicholas James Bunger
• Bunion Surgery Specialists LLC
• Cassandra R Burch, PA-C
• Colin T Burds, PA-C
• Stephen J Burds, D.D.S.
• Jennifer Lynne Burge, PT
• Amanda Lynn Burgod, LMSW

• Clinical Social Worker in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.