Individual provider Active NPI

Mary Ellen Dupre-Burns, LPC

  • Mental Health Counselor
  • Wayne, NJ
National Provider Identifier
1639399454
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00186700 Issued in NJ
Practice address
11 Colburn CT
Wayne, NJ 07470-8211
Phone
(973) 696-0800
Fax
(973) 696-1450
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 37PC00186700 NJ Primary

Addresses

Primary practice location

11 Colburn CT
Wayne, NJ 07470-8211

Mailing address

11 Colburn CT
Wayne, NJ 07470-8211
Phone (973) 696-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240807002791 NJ Practitioner - Marriage and Family Therapist 9335686344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sakowitz Counseling, P.a.Group PAC ID 9335686195, 11 clinicians

Practice addresses (Care Compare)

61 Beaverbrook Rd
Suite 302
Lincoln Park, NJ 07035-1750
Phone (973) 696-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00186700NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sakowitz Counseling PA CurrentSince Aug 1, 2024 Accepting new patients
Michael L. Sakowitz PH.D., P.a, PastSince Jul 6, 2011 Accepting new patients

Locations

61 Beaverbrook Rd
Ste 302
Lincoln Park, NJ 07035
Phone (973) 696-0800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639399454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COLBURN CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708211",
            "telephone_number": "973-696-0800",
            "fax_number": "973-696-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COLBURN CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708211",
            "telephone_number": "973-696-0800",
            "fax_number": "973-696-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPRE-BURNS",
        "first_name": "MARY ELLEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00186700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.