Organization Active NPI

Mindful Cognitive Behavioral Therapy

  • Mental Health Counselor
  • Boston, MA
National Provider Identifier
1407705676
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFUL COGNITIVE BEHAVIORAL THERAPY
Practice address
145 Tremont St Ste 201-1294
Boston, MA 02111-1208
Phone
(617) 544-7280
NPI assigned
Jan 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Elissa Deanne Burdick, LMHCNPI 1811240617
Title
Owner
Phone
(413) 336-5894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

145 Tremont St Ste 201-1294
Boston, MA 02111-1208

Mailing address

145 Tremont St Ste 201-1294
Boston, MA 02111-1208
Phone (617) 544-7280

National Provider Directory

National Provider Directory

Locations

145 Tremont St
Ste 2011294
Boston, MA 02111
Phone (617) 544-7280

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1407705676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 TREMONT ST STE 201-1294",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111208",
            "telephone_number": "617-544-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 TREMONT ST STE 201-1294",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111208",
            "telephone_number": "617-544-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL COGNITIVE BEHAVIORAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "BURDICK",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_middle_name": "DEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-336-5894",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.