Active NPI
Anita Estelle Burdick-Denham, LPCC
- Mental Health Counselor
- Canal Winchester, OH
National Provider Identifier
1417240441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.1901246
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0364105 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| E.1901246 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Assoicates, Inc. | Current | Accepting new patients | |
| Oh Independent Medical Group LLC | Past | 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
- 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.
-
- Pediatrics Physician
- Canal Winchester, OH
- NPI 1457346090
-
- Family Medicine Physician
- Columbus, OH
- NPI 1497482111
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.