Individual provider Active NPI

Patricia M Burr, MA, LPCC, NCC

  • Counselor
  • Albuquerque, NM
National Provider Identifier
1780675769
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2191 Issued in NM
Practice address
6501 4TH St NW
Ste F
Albuquerque, NM 87107-5800
Phone
(505) 247-0366
Fax
(505) 247-0376
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2191 NM Primary

Addresses

Primary practice location

6501 4TH St NW
Ste F
Albuquerque, NM 87107-5800

Mailing address

6501 4TH St NW
Ste F
Albuquerque, NM 87107-5800
Phone (505) 247-0366

Other names 1

  • Ms. Patricia Martinez Burr Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240108004911 NM Practitioner - Mental Health Counselor 1557712114 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2191NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Flower Counseling LLC CurrentSince Dec 26, 2023 Accepting new patients

Locations

6666 4th St NW
Ste C1
Los Ranchos, NM 87107
Phone (505) 463-0472

6666 4th St NW
Los Ranchos, NM 87107
Phone (505) 463-0472

6666 4th St NW
Ste H
Los Ranchos, NM 87107
Phone (505) 681-8281

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780675769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 4TH ST NW",
            "address_2": "STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075800",
            "telephone_number": "505-247-0366",
            "fax_number": "505-247-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 4TH ST NW",
            "address_2": "STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075800",
            "telephone_number": "505-247-0366",
            "fax_number": "505-247-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURR",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MA, LPCC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "2191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MARTINEZ BURR",
            "prefix": "MS.",
            "credential": "MA, LPCC, NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.