Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Thomas Robert Burnside, AAS, AAC, CDPT

Individual provider Mental Health Counselor · NPI 1467893214

Thomas Robert Burnside, AAS, AAC, CDPT is a Mental Health Counselor in Everett, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

9930 Evergreen Way Ste Z150
Everett, WA 98204-3889
Phone: (425) 347-5121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 E Olive St, Seattle, WA 98122-2735 — (206) 302-2200

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CG60397566 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence CG60397566 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence CO60318881 (WA)

Record details

NPI number1467893214
Entity typeIndividual (Type 1)
GenderMale
Credentials AAS , AAC , CDPT
Sole proprietorNo
NPI enumeratedJuly 9, 2013
Last updated in NPPESMay 12, 2022
Certification dateMay 12, 2022
Mailing address9930 Evergreen Way Ste Z150, Everett, WA 98204-3889

Other providers in Everett