{"npi":"1083076467","type":"NPI-1","status":"active","name":{"display":"Andrea Burns Lcpc","other":[],"first":"ANDREA","last":"BURNS","credential":"LCPC"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"101YP2500X","description":"Professional Counselor","primary":false,"state":"IL","license":"180.010478"},{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":"IL","license":"180010478"}]},"addresses":[{"purpose":"LOCATION","street_1":"102 W KENWOOD AVE STE 120A","city":"DECATUR","state":"IL","postal_code":"625264368","country_code":"US","phone":"2175201047","fax":"2175201047"},{"purpose":"MAILING","street_1":"102 W KENWOOD AVE STE 120","city":"DECATUR","state":"IL","postal_code":"625266380","country_code":"US","phone":"2175201047","fax":"2178762840"}],"license":{"state":"IL","number":"180010478"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"370982024-002","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240306002427","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"IL","pac_id":"2567808132"}]},"enumeration_date":"2016-03-24","last_updated":"2025-01-23","_meta":{"source":"NPPES","snapshot_date":"2025-01-23","doc_url":"https://findmynpi.com/api"}}