Individual provider Active NPI

Carrie R. Burick, MA, ATR, PC

  • Mental Health Counselor
  • Solon, OH
National Provider Identifier
1457517120
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.0501255 Issued in OH
Practice address
6200 Som Center Rd
D-20
Solon, OH 44139-2944
Phone
(440) 248-5588
NPI assigned
Aug 1, 2008
Last updated
Jul 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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 C.0501255 OH Primary

Addresses

Primary practice location

6200 Som Center Rd
D-20
Solon, OH 44139-2944

Mailing address

6200 Som Center Rd
D-20
Solon, OH 44139-2944
Phone (440) 248-5588

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C.0501255OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1457517120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SOM CENTER RD",
            "address_2": "D-20",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392944",
            "telephone_number": "440-248-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SOM CENTER RD",
            "address_2": "D-20",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392944",
            "telephone_number": "440-248-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURICK",
        "first_name": "CARRIE",
        "middle_name": "R.",
        "credential": "MA, ATR, PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.0501255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.