Individual provider Active NPI

Mario Alexander Burns, LPC, CRC, NCC

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1437717840
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2016040038 Issued in MO
Practice address
1420 Donelson Pike Ste A5
Nashville, TN 37217-2961
Phone
(615) 366-1220
NPI assigned
May 31, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2016040038 MO Primary

Addresses

Primary practice location

1420 Donelson Pike Ste A5
Nashville, TN 37217-2961

Mailing address

1420 Donelson Pike Ste A5
Nashville, TN 37217-2961
Phone (615) 366-1220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2016040038MOMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1437717840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 DONELSON PIKE STE A5",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172961",
            "telephone_number": "615-366-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 DONELSON PIKE STE A5",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172961",
            "telephone_number": "615-366-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "MARIO",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "LPC, CRC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2016040038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.