Tara Burns, MA, LPCC
Individual provider Active NPI Mental Health Counselor · Saint Paul, MN
NPI 1982307583 · NPPES record last updated Mar 23, 2023
Key facts
- NPI
- 1982307583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CC03682 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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 Minneapolis
Practice addresses (Care Compare)
5905 Golden Valley Rd
Golden Valley, MN 55422-4463
Phone (952) 546-0616
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240228000064 | MN | Practitioner - Mental Health Counselor | 1254776461 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC03682 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service of St. Paul | Current |
Accepting new patients |
Locations
1633 7th St W
Saint Paul, MN 55102
Phone (651) 698-0767
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC03682 | MN | Yes |
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
Other providers in Saint Paul, MN
- Courtney Burnett
- John Westrom Burnham
- Tammie Burnoski
- Brittany Burns
- Richard Burns
- William Allen Burns
- Brandy Buro
- Michael Burrows
- John P. Bursch
- Jade Burt
All providers in Saint Paul, MN · Mental Health Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.