Individual provider Active NPI

Brynn Rogers Burns, LMFT

  • Marriage & Family Therapist
  • East Syracuse, NY
National Provider Identifier
1821498452
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001266-1 Issued in NY
Practice address
5900 N Burdick St Ste 102a
East Syracuse, NY 13057-9477
Phone
(315) 400-2483
NPI assigned
Sep 2, 2014
Last updated
Jan 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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 001266-1 NY Primary

Addresses

Primary practice location

5900 N Burdick St Ste 102a
East Syracuse, NY 13057-9477

Mailing address

3 Drumlins Ter
Syracuse, NY 13224-2217
Phone (315) 400-2483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001266-1NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brynn Rogers Burns Marriage & Family Therapist CurrentSince Jul 25, 2021 Accepting new patients
Connect Marriage and Family Therapy Services Marriage & Family Therapist CurrentSince Jan 10, 2021 Accepting new patients

Locations

5900 N Burdick St
Ste 102A
East Syracuse, NY 13057
Phone (315) 400-2483

Organizations & group practices 2

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": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1821498452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DRUMLINS TER",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132242217",
            "telephone_number": "315-400-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N BURDICK ST STE 102A",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579477",
            "telephone_number": "315-400-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS BURNS",
        "first_name": "BRYNN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001266-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.