Individual provider Active NPI

Tara Burns, MA, LPCC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1982307583
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC03682 Issued in MN
Practice address
1633 7TH St W
Saint Paul, MN 55102-4227
Phone
(651) 698-0767
Fax
(651) 698-0162
NPI assigned
Mar 23, 2023
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC03682 MN Primary

Addresses

Primary practice location

1633 7TH St W
Saint Paul, MN 55102-4227

Mailing address

1633 7TH St W
Saint Paul, MN 55102-4227
Phone (651) 698-0767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228000064 MN Practitioner - Mental Health Counselor 1254776461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Jewish Family and Children's Service of MinneapolisGroup PAC ID 3870532500, 7 clinicians

Practice addresses (Care Compare)

5905 Golden Valley Rd
Golden Valley, MN 55422-4463
Phone (952) 546-0616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CC03682MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of St. Paul CurrentSince Jan 1, 2024 Accepting new patients

Locations

1633 7th St W
Saint Paul, MN 55102
Phone (651) 698-0767

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": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1982307583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024227",
            "telephone_number": "651-698-0767",
            "fax_number": "651-698-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024227",
            "telephone_number": "651-698-0767",
            "fax_number": "651-698-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "TARA",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC03682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.