Active NPI
Marylee Burns, LMHC, LPC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1457657694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 18 002413
- Practice address
- 107 Christopher St Apt 12
New York, NY 10014-4245 - Phone
- (212) 627-7831
- NPI assigned
- Feb 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 18 002413 | NY | Primary |
| Professional Counselor | 101YP2500X | 37PC00179800 | NJ |
Addresses
Primary practice location
107 Christopher St Apt 12
New York, NY 10014-4245
Mailing address
107 Christopher St Apt 12
New York, NY 10014-4245
Phone (212) 627-7831
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18 002413 | NY | MD | Mental Health Counselor |
| 37PC00179800 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296950400000",
"number": "1457657694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CHRISTOPHER ST APT 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100144245",
"telephone_number": "212-627-7831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CHRISTOPHER ST APT 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100144245",
"telephone_number": "212-627-7831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "MARYLEE",
"name_prefix": "Ms.",
"credential": "LMHC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-06",
"last_updated": "2011-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "18 002413",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00179800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.