SHELLY BURKE
NPI 1932610953
Counselor - Mental Health in New York, NY

Active since October 17, 2017PECOS Enrolled
2090 ADAM CLAYTON POWELL JR BLVD FL 7, NEW YORK, NY 10027(917) 485-7280 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shelly Burke NPPES

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

SHELLY BURKE (NPI 1932610953) is an individual mental health provider in New York, New York and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932610953
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHELLY BURKE
Location Address2090 ADAM CLAYTON POWELL JR BLVD FL 7New York, NY 10027-4990
Mailing Address316 E 3rd St Apt 1bNew York, NY 10009-8167
Sole ProprietorNo
Enumeration DateOctober 17, 2017
✔ NPI 1932610953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2090 ADAM CLAYTON POWELL JR BLVD FL 7, New York, NY 10027

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly Burke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shelly Burke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adolescent and Children Mental Health
109 E 115TH ST
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 27 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

Social Worker (Clinical)
2090 ADAM CLAYTON POWELL JR BLVD FL 7
NEW YORK, NY 10027
Social Worker (Clinical)
2090 ADAM CLAYTON POWELL JR BLVD FL 7
NEW YORK, NY 10027
Marriage & Family Therapist
2090 ADAM CLAYTON POWELL JR BLVD FL 7, SUITE 780
NEW YORK, NY 10027
Counselor (Mental Health)
2090 ADAM CLAYTON POWELL JR BLVD FL 7
NEW YORK, NY 10027
Nurse Practitioner (Psychiatric/Mental Health)
2090 ADAM CLAYTON POWELL JR BLVD FL 7
NEW YORK, NY 10027
Counselor (Mental Health)
2090 ADAM CLAYTON POWELL JR BLVD FL 7
NEW YORK, NY 10027
Social Worker
2090 ADAM CLAYTON POWELL JR BLVD FL 7
NEW YORK, NY 10027
Social Worker
2090 ADAM CLAYTON POWELL JR BLVD FL 7
NEW YORK, NY 10027

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 Shelly Burke's NPI number?

The NPI number for Shelly Burke is 1932610953. It was assigned to this individual provider in the NPPES registry on October 17, 2017.

Where is Shelly Burke located?

Shelly Burke practices at 2090 Adam Clayton Powell Jr Blvd Fl 7, New York, NY 10027. The listed phone number is (917) 485-7280.

What is Shelly Burke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shelly Burke enrolled in Medicare?

Yes. Shelly Burke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelly Burke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Burke reassigns Medicare benefits to New York Foundling (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelly Burke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shelly Burke was last updated on October 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.