TARA MARIE BURK (LMFT) – Marriage & Family Therapist, NPI 1154605665

TARA MARIE BURK (LMFT) is a healthcare provider. based in Centerville, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT. They hold a License No. 2855 (MN). The NPI Number for TARA MARIE BURK (LMFT) is 1154605665

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
TARA MARIE BURK (LMFT)
NPI
1154605665
Phone
(651) 407-3631
Address
7041 20th Ave
Enumeration Date
3 October 2011
Last Update Date
22 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6123733366
Graduation Year
2012 (14 years ago)
PAC ID
2466941604
Group Practice PAC ID
0840656856
Professional Enrollment ID
I20251029000793
Address ID
MN553052335MI2000XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

Provider Addresses for TARA MARIE BURK (LMFT)

  • 7041 20th Ave

    Centerville, MN 550389737

    Phone: (651) 407-3631

    Fax: (651) 407-3751

    Type: Location

  • 1833 3RD AVE

    ANOKA, MN 553032424

    Phone: (763) 421-5535

    Fax: (763) 433-0226

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251029000793IMarriage And Family TherapistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55038)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840656856View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical Social WorkerSD
Clinical PsychologistMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What federal number belongs to TARA MARIE BURK (LMFT)?
The federal identifier for TARA MARIE BURK (LMFT) is NPI 1154605665.
Does this profile mean TARA MARIE BURK (LMFT) is currently active?
Yes — TARA MARIE BURK (LMFT) appears active in the national provider directory.
Does TARA MARIE BURK (LMFT) list a primary specialty?
If you are matching referrals, note Marriage & Family Therapist for TARA MARIE BURK (LMFT). Clinical services aligned with this taxonomy classification.
Where does public data place TARA MARIE BURK (LMFT)?
The snapshot lists Centerville, Minnesota for TARA MARIE BURK (LMFT); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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