Active NPI
Samara Burke
- Mental Health Counselor
- Franklin, MA
National Provider Identifier
1962776534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 9 Summer St Unit 203
Franklin, MA 02038-1492 - Phone
- (508) 954-5477
- NPI assigned
- Feb 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAC-13831 | AZ | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
9 Summer St Unit 203
Franklin, MA 02038-1492
Mailing address
3305 Village Rd W
Norwood, MA 02062-2544
Other practice location 1
600 E Baseline Rd
Suite B-2
Tempe, AZ 85283-1247
Phone (520) 610-3258
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
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-13831 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1962776534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 VILLAGE RD W",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020622544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 SUMMER ST UNIT 203",
"city": "FRANKLIN",
"state": "MA",
"postal_code": "020381492",
"telephone_number": "508-954-5477"
}
],
"practiceLocations": [
{
"address_1": "600 E Baseline Rd",
"address_2": "Suite B-2",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852831247",
"country_code": "US",
"telephone_number": "520-610-3258",
"fax_number": "480-275-5757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKE",
"first_name": "SAMARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-29",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC-13831",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklin, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.