Sierra Iman Burrison, STUDENT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

91 Northwest Dr
Plainville, CT 06062-1534

Phone

(860) 793-3717

NPI assigned

Jul 1, 2024

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2024.

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1376388348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9708 EVENING BIRD LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235612",
            "telephone_number": "410-491-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 NORTHWEST DR",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621534",
            "telephone_number": "860-793-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRISON",
        "first_name": "SIERRA",
        "middle_name": "IMAN",
        "credential": "STUDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Burgess, MA., LMFT
• Karen Burgess
• Maribeth Ellen Burke, MSW
• Laurie Burns Gachewicz, LCSW
• Trevor William Burns, M.S., ATC
• Karen Bush
• Halima L Butler, LCSW
• Nadia Cabana
• Patricia Ann Cables, APRN
• Rachel L Callan, LPC, CRC

• All providers in Plainville, CT
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.