| Paul Joseph Burns, | |
|
9 Fishers Ln, Sparta, NJ 07871-2440 | |
| (973) 726-4533 | |
| Not Available |
| Full Name | Paul Joseph Burns |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 9 Fishers Ln, Sparta, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063283240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37PC00998300 (New Jersey) | Primary |
| Entity Name | Lakeside Counseling Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578010674 PECOS PAC ID: 0840568754 Enrollment ID: O20170619001045 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Joseph Burns, Po Box 91, Vernon, NJ 07462-0091 Ph: (845) 544-6478 | Paul Joseph Burns, 9 Fishers Ln, Sparta, NJ 07871-2440 Ph: (973) 726-4533 |
Isabel Juliette Nassi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Main St, Sparta, NJ 07871 Phone: 201-498-9140 | |
Tierney Veliz, MA, ED.S, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Woodport Rd Ste 209, Sparta, NJ 07871 Phone: 973-512-3700 | |
Melony K Bishop, Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Woodport Rd, Sparta, NJ 07871 Phone: 973-512-3700 | |
Elizabeth Ellis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Sparta Ave, #203, Sparta, NJ 07871 Phone: 973-573-1500 | |
Cassidy Spohn, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Woodport Rd, Sparta, NJ 07871 Phone: 973-512-3700 | |
Lisa Arline Frisbie, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Main Street Rear Suite, Sparta, NJ 07871 Phone: 908-291-8466 |