Individual provider Active NPI

Tracy Higa Burns, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1750886883
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.012967 Issued in IL
Practice address
8 S Michigan Ave Ste 618
Chicago, IL 60603-3469
Phone
(312) 263-3024
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.012967 IL Primary

Addresses

Primary practice location

8 S Michigan Ave Ste 618
Chicago, IL 60603-3469

Mailing address

120 Huntington St
Lake Bluff, IL 60044-1141
Phone (847) 682-4092

Other practice location 1

122 S Michigan Ave Ste 305A
Chicago, IL 60603-6191
Phone (847) 558-7622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 8, 2024 through Jan 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.012967ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1750886883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HUNTINGTON ST",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441141",
            "telephone_number": "847-682-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S MICHIGAN AVE STE 618",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033469",
            "telephone_number": "312-263-3024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 S Michigan Ave Ste 305A",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606036191",
            "country_code": "US",
            "telephone_number": "847-558-7622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "TRACY",
        "middle_name": "HIGA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.