Individual provider Active NPI

Martha Burrer, MSC, LAC, NCC

  • Professional Counselor
  • Chandler, AZ
National Provider Identifier
1780137976
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-18259 Issued in AZ
Practice address
333 N Dobson Rd
#15
Chandler, AZ 85224-4412
Phone
(480) 282-8336
NPI assigned
Jul 25, 2016
Last updated
Sep 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X LPC-18259 AZ Primary

Addresses

Primary practice location

333 N Dobson Rd
#15
Chandler, AZ 85224-4412

Mailing address

333 N Dobson Rd Ste 15
Chandler, AZ 85224-4412
Phone (480) 282-8336

Other practice location 1

1338 W Forest Meadows St Ste 140
Flagstaff, AZ 86001-7226
Phone (928) 212-8521

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2266 S Dobson Rd
Mesa, AZ 85202-6412
Phone (480) 720-2880

6775 Dover LN
Show Low, AZ 85901-4122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-18259AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reclaim Self Counseling, LLC Current Accepting new patients

Locations

2266 S Dobson Rd
Ste 200
Mesa, AZ 85202
Phone (480) 757-8090

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1780137976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N DOBSON RD STE 15",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244412",
            "telephone_number": "480-282-8336",
            "fax_number": "480-282-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N DOBSON RD",
            "address_2": "#15",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244412",
            "telephone_number": "480-282-8336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1338 W Forest Meadows St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860017226",
            "country_code": "US",
            "telephone_number": "928-212-8521",
            "fax_number": "480-282-8365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURRER",
        "first_name": "MARTHA",
        "credential": "MSC, LAC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.