Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Thomas Robert Burnside , AAS, AAC, CDPT

Counselor β€’ Everett, WA

Active NPI 1467893214 Individual Practitioner Male Practitioner
Practice location in NPPES

9930 Evergreen Way Ste Z150
Everett, WA 982043889

Call 4253475121 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9930 Evergreen Way Ste Z150

Everett, WA 982043889

Telephone 4253475121
Organization at the Same NPPES Address or Phone
Therapeutic Health Services Facility NPI 1851480875

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Seattle, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Everett and Washington

849 active clinicians are listed under Counselor with a practice address in Everett, WA (11,352 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Everett

0% of these 849 clinicians have the CMS telehealth indicator.

0.5% of these 849 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-05-12
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA CG60397566

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES WA CG60397566
Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

License # reported to NPPES WA CO60318881

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Secondary Practice Locations

1600 E Olive St, Sound Mental Health

Seattle, WA 981222735

Phone: 2063022200

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Eric Ramos Malpica , PA

Physician Assistant

NPI 1083061352

Physician Assistant

Nathaniel Schmidt , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1578915062

Advanced Registered Nurse Practitioner

Ananda Usman

Nurse Practitioner - Psychiatric/Mental Health

NPI 1689342065

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location May 12, 2022

Registered at 9930 EVERGREEN WAY STE Z150, EVERETT, WA 982043889 (Tel: 4253475121)

πŸ“
Updated Business Mailing Address May 12, 2022

Registered at 9930 EVERGREEN WAY STE Z150, EVERETT, WA 982043889 (Tel: 4253475121)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2022

Counselor (license number reported to NPPES: WA CG60397566)

βœ…
NPI Profile Active July 09, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 09, 2013

Registered at 1600 E OLIVE ST, SOUND MENTAL HEALTH, SEATTLE, WA 981222735 (Tel: 2063022200)

πŸ“
Business Mailing Address (Initial Record) July 09, 2013

Registered at 1600 E OLIVE ST, SOUND MENTAL HEALTH, SEATTLE, WA 981222735 (Tel: 2063022200)

πŸ‘€
Provider Name / Credentials (Initial Record) July 09, 2013

Recorded as THOMAS BURNSIDE, AAS, AAC, CDPT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2013

Counselor (license number reported to NPPES: WA CG60397566)

🟒
Initial NPI Registration & Enumeration July 09, 2013

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1467893214
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2013
Last Update: May 12, 2022
Sole Proprietor: No

Mailing Address

9930 Evergreen Way Ste Z150

Everett, WA 982043889

Phone: 4253475121

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.