Individual provider Active NPI

Kathleen Mary Burnspower, MED LMHC

  • Mental Health Counselor
  • Worcester, MA
National Provider Identifier
1467566653
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
829 Issued in MA
Practice address
198 Russell St
Worcester, MA 01609-2200
Phone
(508) 363-4544
Fax
(508) 753-5100
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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 829 MA Primary

Addresses

Primary practice location

198 Russell St
Worcester, MA 01609-2200

Mailing address

5 Viking Ter
Worcester, MA 01604-1428
Phone (508) 438-5580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240302000242 MA Practitioner - Mental Health Counselor 0840635611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Martha'S Vineyard Community Services, Inc.Group PAC ID 4385552496, 16 clinicians

Practice addresses (Care Compare)

111 Edgartown Rd
Vineyard Haven, MA 02568
Phone 5086937900213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
829MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Martha'S Vineyard Community Services, Inc. Mental Health CurrentSince Jan 22, 2024 Accepting new patients

Locations

111 Edgartown Vineyard Haven Rd
Vineyard Hvn, MA 02568

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1467566653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 VIKING TER",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041428",
            "telephone_number": "508-438-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 RUSSELL ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092200",
            "telephone_number": "508-363-4544",
            "fax_number": "508-753-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNSPOWER",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "MED LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.