Casey Grant Burns, BS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

15 2ND St NW
Buffalo, MN 55313-1357

Phone

(507) 246-6831

Fax

(320) 310-0983

NPI assigned

Jun 1, 2022

Last updated

Jun 1, 2022By the provider in NPPES

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 MN

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, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Jacqui Ruzicka Counseling Services LLCGroup PAC ID 9133462161, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jacqui Ruzicka Counseling Services, LLC

  dba Serenity Mental Health Center

  • Community/Behavioral Health Agency
  • Hutchinson, MN
  • NPI 1669849808

  Single Specialty

  Medicare reassignment Care Compare group NPD
• True Balance LTD

  • Multi-Specialty Clinic/Center
  • Little Falls, MN
  • NPI 1205025442

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1649919358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 EDMONSON AVE",
            "address_2": "APT 210",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "55362",
            "telephone_number": "904-401-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 2ND ST NW",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131357",
            "telephone_number": "507-246-6831",
            "fax_number": "320-310-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "CASEY",
        "middle_name": "GRANT",
        "name_prefix": "Mr.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buffalo Eye Clinic P a
• Buffalo Family Dentistry
• Buffalo Family Dentistry PLLC
• Buffalo Orthotics & Prosthetics, Inc.
• Andrew John Burgdorf, MD
• Kimberly Dawn Bursch-Tewalt, NP-C
• Eric Byrnes
• Kristen Campbell
• Bryden Carlson-Giving
• Nicholas Carlson

• Mental Health Counselor in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.