Derrick Damone Burton

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

77982 Issued in TX

Practice address

2703 Sun Valley CT
Pearland, TX 77584-2792

Phone

(832) 994-0072

NPI assigned

Nov 19, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mack Counseling PLLCGroup PAC ID 0446786347, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mack Counseling PLLC

  • Case Management Agency
  • Houston, TX
  • NPI 1891450656

  Mental Health

  Medicare reassignment Care Compare group NPD
• Mack Counseling Residential

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Houston, TX
  • NPI 1265304679
  NPD

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1568065670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 SUN VALLEY CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842792",
            "telephone_number": "832-994-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 SUN VALLEY CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842792",
            "telephone_number": "832-994-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "DERRICK",
        "middle_name": "DAMONE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-19",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Denisse Burns Gutierrez
• Donna Ashley Burns, MED, LPC-A
• Nancy Monique Burns, CFNC
• Jennifer Burris
• Robert Dresty Burrle III
• Betty Jo Busby, LPC
• Rhonda Elaine Busby, M.ED,CCC/SLP
• Stephanie Bush (Barboza)
• Loralie C Bushnell, CCC-SLP
• Alexander Butkevich, M.D.

• Mental Health Counselor in Pearland, TX
• Providers in Pearland, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.