Sedara Maia Burson, LPC, CPCS, MAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC006764 Issued in GA

Practice address

457 Jefferson Chase Cir SE
Atlanta, GA 30354-2881

Phone

(513) 470-1333

NPI assigned

Feb 4, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671840000000",
    "number": "1912239773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 PRESTON VIEW CT SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157313",
            "telephone_number": "404-913-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 JEFFERSON CHASE CIR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303542881",
            "telephone_number": "513-470-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSON",
        "first_name": "SEDARA",
        "middle_name": "MAIA",
        "name_prefix": "Ms.",
        "credential": "LPC, CPCS, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2022-12-24",
        "certification_date": "2022-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC006764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "LPC00674",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sedarabursonlpc.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "2554 Preston View Ct SW",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303157313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dawn Burroughs, LCSW
• Hayes K Burrow, DMD
• Celio O Burrowes, MD
• Luther Burse Jr., M.D.
• Afiya Burson, PHD, LPC, NCC
• Fernando D Burstein, M.D.
• Shana Ruth Burstein, MD
• Cassie Lucia Burt, PA-C
• Rachel Burt, CNP
• Marchelle J Burtenshaw, LPC

• All providers in Atlanta, GA
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2022; 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.