Individual provider Active NPI

Anita Estelle Burdick-Denham, LPCC

  • Mental Health Counselor
  • Canal Winchester, OH
National Provider Identifier
1417240441
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1901246 Issued in OH
Practice address
7750 Diley Rd Ste a
Canal Winchester, OH 43110-7758
Phone
(614) 837-7337
Fax
(614) 837-7335
NPI assigned
May 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X
Rehabilitation Practitioner 225400000X
Adult Companion 372600000X
Mental Health Counselor 101YM0800X E.1901246 OH Primary

Addresses

Primary practice location

7750 Diley Rd Ste a
Canal Winchester, OH 43110-7758

Mailing address

7750 Diley Rd Ste a
Canal Winchester, OH 43110-7758
Phone (614) 837-7337

Other identifiers 1

IdentifierTypeStateIssuer
0364105MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.1901246OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Assoicates, Inc. CurrentSince Feb 9, 2025 Accepting new patients
Oh Independent Medical Group LLC PastSince Feb 9, 2025 Accepting new patients

Locations

7750 Diley Rd
Ste A
Canal Winchester, OH 43110
Phone (614) 837-7337

1021 Country Club Rd
Unit A
Columbus, OH 43213
Phone (614) 501-7337

Interoperability endpoints

  • Direct secure messaging: anita.burdick-denham.1@26020.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1417240441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 DILEY RD STE A",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107758",
            "telephone_number": "614-837-7337",
            "fax_number": "614-837-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 DILEY RD STE A",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107758",
            "telephone_number": "614-837-7337",
            "fax_number": "614-837-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK-DENHAM",
        "first_name": "ANITA",
        "middle_name": "ESTELLE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1901246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0364105",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.