Active NPI
Patricia Martinez Burr, Ma, LPCC, NCC
- Professional Counselor
- Los Ranchos, NM
National Provider Identifier
1699013169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2191
- 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, NCC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36171883 | Medicaid | NM |
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.