MEDICARE: MITCHELL ALAN BURNS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	51529	MT
2	101YM0800X	Mental Health Counselor	51529	MT

General Provider Information

NPI Number	:	1215798616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MITCHELL ALAN BURNS LCSW

Provider Business Mailing Address
First Line	:	1619 RAY OF HOPE LN
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59106-3503
Country	:	US
Telephone Number	:	406-591-6852
Fax Number	:

Provider Business Practice Location Address
First Line	:	1619 RAY OF HOPE LN
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59106-3503
Country	:	US
Telephone Number	:	406-591-6852
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2024
Last Update Date	:	12/08/2025

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