MRS. TATUM RAYE BURDIS MA, LPC
NPI 1013527183
Counselor - Professional in Amarillo, TX

Q: What is Tatum Burdis's NPI number?

The NPI number for Tatum Burdis is 1013527183. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Q: What is Tatum Burdis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: Is Tatum Burdis enrolled in Medicare?

No. Tatum Burdis has opted out of Medicare through May 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Tatum Burdis was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 04, 2020Opted out of Medicare · through May 21, 2028

7470 GOLDEN POND PL STE 300, AMARILLO, TX 79121(806) 356-9047(806) 356-9046 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Tatum Raye Burdis Ma, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TATUM RAYE BURDIS MA, LPC (NPI 1013527183) is an individual professional provider in Amarillo, Texas, licensed in Texas (79395) and active in the NPI registry since August 2020. She has opted out of Medicare through May 21, 2028.

NPPES Registry Identity

NPI1013527183

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. TATUM RAYE BURDISCredential: MA, LPC

Location Address7470 GOLDEN POND PL STE 300Amarillo, TX 79121-2100

Mailing Address7470 Golden Pond Pl Ste 300Amarillo, TX 79121-2100 · (806) 356-9047 · Fax (806) 356-9046

Phone(806) 356-9047

Fax(806) 356-9046

Sole ProprietorYes

Enumeration DateAugust 4, 2020

NPPES CertifiedAugust 4, 2020

✔ NPI 1013527183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 79395

7470 GOLDEN POND PL STE 300, Amarillo, TX 79121

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Tatum Raye Burdis Ma, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 21, 2024 through May 21, 2028.

Opt-Out Effective DateMay 21, 2024

Opt-Out In Effect ThroughMay 21, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEEANNA GREEN PHD, LPC

Counselor (Professional)