Mark K. Burton, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

4922254-2501 Issued in UT

Practice address

1400 Foothill Dr Ste 24
Salt Lake City, UT 84108-2392

Phone

(801) 581-0422

Fax

(801) 581-0764

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Aspen Grove Counseling, LLC

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1447227731
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902990708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FOOTHILL DR STE 24",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082392",
            "telephone_number": "801-581-0422",
            "fax_number": "801-581-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FOOTHILL DR STE 24",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082392",
            "telephone_number": "801-581-0422",
            "fax_number": "801-581-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "MARK",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "UT",
            "license": "4922254-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Ellen Kaderabek Burton, PH.D.
• Jennifer Ruth Burton, D.P.T.
• Laura May Burton, APRN
• Lenova Burton
• Lindy S. Burton, L.C.S.W.
• Mary Dunson Burton, MD
• Ryan Burton
• Sara Burton, APRN
• Sarah Burton
• Savannah Burton

• All providers in Salt Lake City, UT
• Counseling Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.