Robert C Burg, CT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1000372-TRNE Issued in OH

Practice address

7970 Cobblestone LN
Chagrin Falls, OH 44023-4881

Phone

(440) 488-0012

NPI assigned

Mar 25, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 2, 2025 through May 2, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iceberg Counseling and Wellness

  • Mental Health Counselor
  • Mason, OH
  • NPI 1134801442
  NPD
• Stillpoint Counseling and Wellness, PLLC

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1578043386
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1225337553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7970 COBBLESTONE LN",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7970 COBBLESTONE LN",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234881",
            "telephone_number": "440-488-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURG",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "CT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1000372-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark C Brown, PHD
• Barbara Anne Bryndal, LPCC LICDC
• Erica Bumgarner
• Kathy Bundy
• Kristina Allysa Bundy
• Angela Burk, OTR/L
• Jennifer Kay Burky, OTR/L
• Robert B Cameron, M.D.
• Gabrielle Campana, DPT
• Jeffrey A Campbell, DMD

• Mental Health Counselor in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.