Susan Wardle-Burke, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E3464 Issued in OH

Practice address

310 Churchill Hubbard Rd
Suite a
Youngstown, OH 44505-1371

Phone

(330) 759-3040

Fax

(330) 759-3070

NPI assigned

Mar 28, 2007

Sex

Female

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Churchill Counseling Services, Inc.Group PAC ID 3779532262, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Churchill Counseling Services, Inc

  • Mental Health Counselor
  • Youngstown, OH
  • NPI 1013996271
  Medicare reassignment Care Compare group NPD
• Trumbull Mahoning Medical Group, Inc.

  • Internal Medicine Physician
  • Youngstown, OH
  • NPI 1538353883
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407975600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 WOODRIDGE DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445155108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CHURCHILL HUBBARD RD",
            "address_2": "SUITE A",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051371",
            "telephone_number": "330-759-3040",
            "fax_number": "330-759-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDLE-BURKE",
        "first_name": "SUSAN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E3464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Elaine Ward, CRNA
• Jeanette Joie Ward
• Tara L Ward, RN
• Tiffany Brooke Ward, FNP
• Amiyah Warden
• Jacob Wardle
• Rachel Ware
• Rachel Ann Ware
• Ryan J Ware, STNA
• Pamela Lynn Wargo

• Professional Counselor in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.