Individual provider Active NPI

Mark Burrowes, ED.M. LMHC LMFT

  • Mental Health Counselor
  • Quincy, MA
National Provider Identifier
1518039288
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1831 Issued in MA
Practice address
59 Coddington St
Suite 203
Quincy, MA 02169-4510
Phone
(617) 331-3468
Fax
(617) 327-0227
NPI assigned
Nov 15, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 1831 MA Primary

Addresses

Primary practice location

59 Coddington St
Suite 203
Quincy, MA 02169-4510

Mailing address

PO Box 192
Roslindale, MA 02131-0007
Phone (617) 331-3468

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
I20231226000903 MA Practitioner - Mental Health Counselor 5698125193 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1831MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Jan 1, 2024 Accepting new patients
Starr Psychiatric Center Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

529 Pearl St
Brockton, MA 02301
Phone (508) 580-1616

225 Foxborough Blvd
Ste 201
Foxborough, MA 02035
Phone (508) 901-4685

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518039288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021310007",
            "telephone_number": "617-331-3468",
            "fax_number": "617-327-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CODDINGTON ST",
            "address_2": "SUITE 203",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694510",
            "telephone_number": "617-331-3468",
            "fax_number": "617-327-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROWES",
        "first_name": "MARK",
        "credential": "ED.M. LMHC LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.