Individual provider Active NPI

Melissa Elizabeth Burian, LCSW, CADC

  • Clinical Social Worker
  • Batavia, IL
National Provider Identifier
1912434366
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149019212 Issued in IL
Practice address
143 First St Ste 201
Batavia, IL 60510-3102
Phone
(815) 474-8872
NPI assigned
May 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 32030 IL
Clinical Social Worker 1041C0700X 149019212 IL Primary

Addresses

Primary practice location

143 First St Ste 201
Batavia, IL 60510-3102

Mailing address

1949 Misty Ridge LN
Aurora, IL 60503-7333
Phone (815) 474-8872

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
32030ILMDAddiction (Substance Use Disorder) Counselor
149019212ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1912434366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 MISTY RIDGE LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605037333",
            "telephone_number": "815-474-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 FIRST ST STE 201",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605103102",
            "telephone_number": "815-474-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURIAN",
        "first_name": "MELISSA",
        "middle_name": "ELIZABETH",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "32030",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; 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.