Kristen Ann Burke, LMHC
Individual provider Active NPI Professional Counselor · Lawrence, MA
NPI 1851450167 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1851450167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 4750 (MA)
- Practice address
- 430 N Canal St
Lawrence, MA 01840-1246 - Phone
- (978) 683-9505
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4750 | MA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4750 | MA | Yes |
Addresses
Primary practice location
430 N Canal St
Lawrence, MA 01840-1246
Mailing address
55 Opossum Dr
Chester, NH 03036-8114
Phone (603) 887-3342
Other providers in Lawrence, MA
- Andrea Buonaugurio
- Alexis K Buote
- Paola E Burgos
- Jennifer Burke
- Julianna Burke
- Samuel Philip Burke
- Austin Burkett
- Olin V Burkhart
- Tracyann Burnett
- Alexa Burrows
All providers in Lawrence, MA · Professional Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.