ANDREA BURNS LCPC NPI 1083076467

NPI Information

  • NPI: 1083076467
  • Provider Name: ANDREA BURNS, LCPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 102 W KENWOOD AVE STE 120A
    DECATUR, IL
    ZIP 62526
  • Phone: (217) 520-1047

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NPI Details

Andrea Burns, LCPC is a mental health counselor in Decatur, IL with 12 years of experience. Andrea Burns, LCPC NPI is 1083076467. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

102 W KENWOOD AVE STE 120A
DECATUR, IL
ZIP 62526-368
Phone: (217) 520-1047
Fax: (217) 520-1047

The NPI 1083076467 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/24/2016 and was last updated on 1/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional180.010478ILLINOISNo
2101YM0800XCounselorMental Health180010478ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1370982024-002MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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