Individual provider Active NPI

Allexys Burbo, MA

  • Counselor
  • Fitchburg, MA
National Provider Identifier
1720688781
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
545 Westminster St
Fitchburg, MA 01420-4766
Phone
(978) 345-0685
Fax
(978) 829-2210
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

545 Westminster St
Fitchburg, MA 01420-4766

Mailing address

545 Westminster St
Fitchburg, MA 01420-4766
Phone (978) 345-0685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20250620003196 MA Practitioner - Mental Health Counselor 2769994292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pax Healing, LLCGroup PAC ID 0840714820, 3 clinicians

Practice addresses (Care Compare)

1115 Stafford St
Rochdale, MA 01542-1032
Phone (508) 470-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Pax Healing, LLC CurrentSince Jun 1, 2025 Accepting new patients
Luk Crisis Center Inc. CurrentSince Nov 1, 2020 Accepting new patients
Pax Healing LLC CurrentSince Nov 24, 2025 Accepting new patients

Locations

545 Westminster St
Fitchburg, MA 01420
Phone (978) 345-0685

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/luk/r4/

Organizations & group practices 3

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": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1720688781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 WESTMINSTER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204766",
            "telephone_number": "978-345-0685",
            "fax_number": "978-829-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 WESTMINSTER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204766",
            "telephone_number": "978-345-0685",
            "fax_number": "978-829-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBO",
        "first_name": "ALLEXYS",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.