Provider Demographics
NPI:1215456371
Name:BURPOE, KARI
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:BURPOE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:
Other - Last Name:LAVIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:361 NEWBURY ST FL 5
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-2727
Mailing Address - Country:US
Mailing Address - Phone:781-469-1895
Mailing Address - Fax:
Practice Address - Street 1:361 NEWBURY ST FL 5
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-2727
Practice Address - Country:US
Practice Address - Phone:781-469-1895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-10
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11399101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health