Provider Demographics
NPI:1902062003
Name:BURNS, RICHARD (MS, LMFT, NCC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:BURNS
Suffix:
Gender:M
Credentials:MS, LMFT, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 120448
Mailing Address - Street 2:
Mailing Address - City:NEW
Mailing Address - State:MN
Mailing Address - Zip Code:55122
Mailing Address - Country:US
Mailing Address - Phone:763-340-2311
Mailing Address - Fax:763-340-2340
Practice Address - Street 1:1030 COUNTY ROAD E W STE 220
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55126-8153
Practice Address - Country:US
Practice Address - Phone:763-300-0387
Practice Address - Fax:763-340-2340
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
MN2365106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1902062003OtherUCARE/ BHP
MN1902062003OtherTRICARE
MN1902062003OtherBLUE CROSS BLUE SHIELD OF MN
MN1902062003OtherMEDICA/ UBH
MN1902062003OtherPREFERRED ONE
MN1902062003OtherMETROPOLITAN HEALTH PLAN
MN1902062003OtherHUMANA/ LIFESYNCH
MN1902062003OtherHEALTHPARTNERS
MN1902062003Medicaid