Brandon Burns

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6442 Issued in CT

Practice address

384 Pratt St
Meriden, CT 06450-8627

Phone

(203) 235-5767

NPI assigned

Jun 9, 2023

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 CT

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leap-Lifelong Empowerment ABA and Psychotherapy LLCGroup PAC ID 3577093012, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Leap-Lifelong Empowerment ABA & Psychotherapy LLC

  • Mental Health Counselor
  • Farmington, CT
  • NPI 1740010297
  Medicare reassignment Care Compare group NPD
• Community Guidance Clinic for Central Connecticut, Inc

  • Mental Health Counselor
  • Meriden, CT
  • NPI 1851880546
  NPD
• Community Guidance Clinic for Central Connecticut, Inc

  • Mental Health Counselor
  • Meriden, CT
  • NPI 1467500090
  NPD (past)

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1649954793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 PRATT ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 PRATT ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508627",
            "telephone_number": "203-235-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "6442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiana Burdick, LCSW
• Suzanne Burgess, RN
• Kathleen Burk, M.S., CCC-SLP
• Marissa Burke
• Michael Anthony Burke, LADC, LMSW, CCDP-D,
• Mark S Burwick, DDS
• Amanda Butkiewicz, PHARM. D
• Stacy Nadeen Butler, DDS
• Emily Buyak
• Alexis Cable, SPEECH THERAPY

• Counselor in Meriden, CT
• Providers in Meriden, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.