Organization Active NPI

Patricia Martinez Burr, Ma, LPCC, NCC

  • Professional Counselor
  • Los Ranchos, NM
National Provider Identifier
1699013169
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2191 Issued in NM
Legal business name
PATRICIA MARTINEZ BURR, MA, LPCC, NCC
Practice address
6666 4TH St NW
Suite B
Los Ranchos, NM 87107-6144
Phone
(505) 463-0472
Fax
(505) 344-7581
NPI assigned
Jan 17, 2013
Organization subpart
Yes
Parent organization
PATRICIA MARTINEZ BURR, MA, LPCC, NCCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Paricia Martinez Burr, MA
Title
Licensed Professional Clinical Coun
Phone
(505) 463-0472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2191 NM Primary

Addresses

Primary practice location

6666 4TH St NW
Suite B
Los Ranchos, NM 87107-6144

Mailing address

6666 4TH St NW
Suite B
Los Ranchos, NM 87107-6144
Phone (505) 463-0472

Other identifiers 1

IdentifierTypeStateIssuer
36171883MedicaidNM

National Provider Directory

National Provider Directory
Part of
Patricia Martinez Burr Ma LPCC NCC

Locations

6666 4th St NW
Ste B
Los Ranchos, NM 87107
Phone (505) 463-0472

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1699013169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 4TH ST NW",
            "address_2": "SUITE B",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871076144",
            "telephone_number": "505-463-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 4TH ST NW",
            "address_2": "SUITE B",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871076144",
            "telephone_number": "505-463-0472",
            "fax_number": "505-344-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA MARTINEZ BURR, MA, LPCC, NCC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATRICIA MARTINEZ BURR, MA, LPCC, NCC",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ BURR",
        "authorized_official_first_name": "PARICIA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL CLINICAL COUN",
        "authorized_official_telephone_number": "505-463-0472",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "2191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36171883",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Ranchos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.