Carin Burr, LICDC-CS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C-0006467 Issued in OH

Practice address

2516 Ross LN
Springfield, OH 45502-8614

Phone

(937) 925-2180

Fax

(855) 925-2181

NPI assigned

Sep 23, 2014

Last updated

Sep 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Symmetry Wellness LLC

  • Addiction (Substance Use Disorder) Counselor
  • Springfield, OH
  • NPI 1326445735
  NPD (past) Authorized official

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1467854232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2082",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455012082",
            "telephone_number": "937-925-2180",
            "fax_number": "855-925-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 ROSS LN",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455028614",
            "telephone_number": "937-925-2180",
            "fax_number": "855-925-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURR",
        "first_name": "CARIN",
        "credential": "LICDC-CS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "976175",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C-0006467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Burgoyne-Jenks, LPTA
• Abigail Dawn Burk, L.M.T.
• Debra Burke
• Jenilee Ann Burke, RN
• Ashli Burns, M.D.
• Nicole Burson
• Erica Burton
• Haley Bury, COTA/L
• Jacob William Bush, PHARMD
• Kelli Bush

• Mental Health Counselor in Springfield, OH
• Providers in Springfield, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.