Kelly Burg, LCSW,SAC

ActiveIndividual ProviderMental Health Counselor
NPI issued: October 4, 2012

Quick Facts

NPI Number
1639421373
TypeIndividual
StatusActive
SpecialtyMental Health Counselor
Taxonomy101YM0800X — Mental Health Counselor
Phone
(715) 588-1511
StateWI

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1639421373)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (October 4, 2012)
Data source: CMS NPPES

Provider Overview

KELLY BURG, LCSW,SAC is a Mental Health Counselor provider based in Lac Du Flambeau, WI who has been registered with CMS since 2012. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1639421373
Provider TypeIndividual Provider
GenderFemale
CredentialLCSW,SAC
StatusActive
Enumeration DateOctober 4, 2012

Practice Location

CityLac Du Flambeau
StateWI
ZIP Code54538-0189
Phone(715) 588-1511

Specialties & Licenses

★ Primary
SpecialtyMental Health Counselor
Taxonomy Code101YM0800X
License StateWI

Mailing Address

CityLac Du Flambeau
StateWI
ZIP Code54538-0189
Phone(715) 588-1511
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1639421373 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1639421373for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1639421373 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Mental Health Counselor

Mental Health Counselors diagnose and treat mental and emotional disorders, helping clients cope with life challenges, anxiety, depression, relationship issues, and overall mental wellness.

Browse all Mental Health Counselorproviders →
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333,922
Mental Health Counselor Providers in the US

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People Also Ask

What is Kelly Burg's NPI number?
Kelly Burg's NPI number is 1639421373, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kelly Burg's NPI currently active?
Yes, Kelly Burg's NPI status is Active as of the latest CMS NPPES database updates.
What does Kelly Burg specialize in?
Kelly Burg specializes in Mental Health Counselor. The healthcare taxonomy code associated with this specialty is 101YM0800X.
Where does Kelly Burg practice?
Kelly Burg practices in Lac Du Flambeau, WI 54538-0189.
When was Kelly Burg's NPI issued?
Kelly Burg's NPI was issued on October 4, 2012.
What is Kelly Burg's provider type?
Kelly Burg is registered as an Individual Provider under CMS NPI Type 1.