DR. MARCI SONDRA BURROUGHS PHD
NPI 1578094140
Psychologist - Counseling in Knoxville, TN

Active since March 24, 2017Opted out of Medicare · through May 20, 2028
9111 CROSS PARK DR SUITE E111, KNOXVILLE, TN 37923(865) 696-7332(865) 761-8198 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2021, Mar 24, 2017 (2 updates tracked since 2017).

About Dr. Marci Sondra Burroughs Phd NPPES

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

DR. MARCI SONDRA BURROUGHS PHD (NPI 1578094140) is an individual counseling provider in Knoxville, Tennessee, licensed in Tennessee (2109) and active in the NPI registry since March 2017. She has opted out of Medicare through May 20, 2028.

NPPES Registry Identity

NPI1578094140
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameDR. MARCI SONDRA BURROUGHSCredential: PHD
Location Address9111 CROSS PARK DR SUITE E111Knoxville, TN 37923-4506
Mailing Address118 N Peters Rd Ste 155Knoxville, TN 37923-4927 · (865) 696-7332 · Fax (865) 761-8198
Fax(865) 761-8198
Sole ProprietorYes
Enumeration DateMarch 24, 2017
Last NPPES UpdateJune 21, 20212 updates tracked since enumeration
NPPES CertifiedJune 4, 2021
NPI 1578094140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in TN · 2109
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
9111 CROSS PARK DR SUITE E111, Knoxville, TN 37923

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Marci Sondra Burroughs Phd 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 20, 2022 through May 20, 2028.

Opt-Out Effective DateMay 20, 2022
Opt-Out In Effect ThroughMay 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marci Burroughs's NPI number?

The NPI number for Marci Burroughs is 1578094140. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Marci Burroughs located?

Marci Burroughs practices at 9111 Cross Park Dr Suite E111, Knoxville, TN 37923. The listed phone number is (865) 696-7332.

What is Marci Burroughs's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Marci Burroughs enrolled in Medicare?

No. Marci Burroughs has opted out of Medicare through May 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Marci Burroughs was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.