Individual provider Active NPI

Zachary Thomas Burns

  • Professional Counselor
  • Wexford, PA
National Provider Identifier
1932807872
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015077 Issued in PA
Practice address
9855 Rinaman Rd
Wexford, PA 15090-9226
Phone
(724) 799-8558
Fax
(412) 430-3383
NPI assigned
Feb 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC015077 PA Primary

Addresses

Primary practice location

9855 Rinaman Rd
Wexford, PA 15090-9226

Mailing address

637 Hollow Rd
Enon Valley, PA 16120-1813
Phone (724) 630-5362

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
PC015077PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Counseling Services, LLC Current Accepting new patients
Child and Adolescent Psychiatric Solutions LLC Professional CurrentSince Oct 29, 2023 Accepting new patients

Locations

9855 Rinaman Rd
Wexford, PA 15090
Phone (724) 799-8558

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": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1932807872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 HOLLOW RD",
            "city": "ENON VALLEY",
            "state": "PA",
            "postal_code": "161201813",
            "telephone_number": "724-630-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9855 RINAMAN RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909226",
            "telephone_number": "724-799-8558",
            "fax_number": "412-430-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "ZACHARY",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.