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MRS. ELAINE FORMICA BURNHAM LPC
NPI 1881871606
Counselor - Professional in South Windsor, CT

Active since January 23, 2008PECOS Enrolled
378 LONG HILL RD, SOUTH WINDSOR, CT 06074(860) 528-7005 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Elaine Formica Burnham Lpc NPPES

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

MRS. ELAINE FORMICA BURNHAM LPC (NPI 1881871606) is an individual professional provider in South Windsor, Connecticut, licensed in Connecticut (000698) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1881871606
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ELAINE FORMICA BURNHAMCredential: LPC
Location Address378 LONG HILL RDSouth Windsor, CT 06074-4217
Mailing Address378 Long Hill RdSouth Windsor, CT 06074-4217 · (860) 528-7005
Phone(860) 528-7005
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 23, 2008
✔ NPI 1881871606 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 CT · 000698
378 LONG HILL RD, South Windsor, CT 06074
Open in Google Maps ↗

Other Identifiers 1

Other00698CT · Lpc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Elaine Formica Burnham Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092167239
PECOS Enrollment IDI20240123003895
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Elaine Formica Burnham's NPI number?

The NPI number for Elaine Formica Burnham is 1881871606. It was assigned to this individual provider in the NPPES registry on January 23, 2008.

Where is Elaine Formica Burnham located?

Elaine Formica Burnham practices at 378 Long Hill Rd, South Windsor, CT 06074. The listed phone number is (860) 528-7005.

What is Elaine Formica Burnham's specialty?

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

Is Elaine Formica Burnham enrolled in Medicare?

Yes. Elaine Formica Burnham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elaine Formica Burnham was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.