Individual provider Active NPI

Sean J Burke, LPCMH

  • Professional Counselor
  • Newark, DE
National Provider Identifier
1336790625
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC-0011293 Issued in DE
Practice address
100 Commerce Dr.
BLDG. 100, Suite 300
Newark, DE 19713-2878
Phone
(302) 530-1743
NPI assigned
Sep 27, 2019
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Professional Counselor 101YP2500X PC-0011293 DE Primary

Addresses

Primary practice location

100 Commerce Dr.
BLDG. 100, Suite 300
Newark, DE 19713-2878

Mailing address

100 Commerce Dr.
BLDG. 100, Suite 300
Newark, DE 19713-2878
Phone (302) 530-1743

Other identifiers 2

IdentifierTypeStateIssuer
CD-0000107MedicaidDE
1878MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20241219000399 DE Practitioner - Mental Health Counselor 6901333608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Atlantic Behavioral Health, LLCGroup PAC ID 3375620016, 88 clinicians

Practice addresses (Care Compare)

100 Commerce Dr
Suite 300
Newark, DE 19713-2878
Phone (302) 224-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Behavioral Health, LLC Addiction (Substance Use Disorder) CurrentSince Jan 27, 2024 Accepting new patients
Connections Community Support Programs, Inc. PastSince Dec 25, 2020 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

100 Commerce Dr
Ste 100
Newark, DE 19713
Phone (302) 575-8240

100 Commerce Dr
Ste 300
Newark, DE 19713
Phone (302) 530-1743

300 Biddle Ave
Ste 207
Newark, DE 19702
Phone 3022241400 ext. 614

910 S Chapel St
Ste 102
Newark, DE 19713
Phone 3022241400 ext. 614

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": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1336790625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COMMERCE DR.",
            "address_2": "BLDG. 100, SUITE 300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132878",
            "telephone_number": "302-530-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMERCE DR.",
            "address_2": "BLDG. 100, SUITE 300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132878",
            "telephone_number": "302-530-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "SEAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LPCMH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-27",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0011293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CD-0000107",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1878",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.