Provider Demographics
NPI:1497350540
Name:JENNIFER BURNS, LMHC,
Entity Type:Organization
Organization Name:JENNIFER BURNS, LMHC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-336-3858
Mailing Address - Street 1:187 LOW ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-3539
Mailing Address - Country:US
Mailing Address - Phone:978-509-2688
Mailing Address - Fax:
Practice Address - Street 1:125 CAMBRIDGE PARK DRIVE
Practice Address - Street 2:SUITE 301
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-0214
Practice Address - Country:US
Practice Address - Phone:617-336-3858
Practice Address - Fax:617-687-6200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health