Individual provider Active NPI

Shaun Burrow, MMFT

  • Marriage & Family Therapist
  • Flower Mound, TX
National Provider Identifier
1700051604
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201019 Issued in TX
Practice address
2904 Corporate Cir
Suite 129
Flower Mound, TX 75028-2292
Phone
(469) 635-7540
NPI assigned
Apr 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 201019 TX Primary

Addresses

Primary practice location

2904 Corporate Cir
Suite 129
Flower Mound, TX 75028-2292

Mailing address

2904 Corporate Cir
Suite 129
Flower Mound, TX 75028-2292
Phone (469) 635-7540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 25, 2024 through Jan 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
201019TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Timbers Family Therapy, PLLC Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1700051604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 CORPORATE CIR",
            "address_2": "SUITE 129",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282292",
            "telephone_number": "469-635-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 CORPORATE CIR",
            "address_2": "SUITE 129",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282292",
            "telephone_number": "469-635-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROW",
        "first_name": "SHAUN",
        "credential": "MMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.