Stephanie Burbridge, LPCC-S

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E.1700363 Issued in OH

Practice address

29133 Health Campus Dr
Westlake, OH 44145-5256

Phone

(440) 835-6212

Fax

(440) 835-6231

NPI assigned

Jul 20, 2016

Last updated

Sep 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  OH

  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  OH

  Medicare reassignment NPD
• Lighthouse Hope & Healing LLC

  • Mental Health Counselor
  • Burton, OH
  • NPI 1609753490
  NPD Authorized official

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1427401918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29133 HEALTH CAMPUS DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455256",
            "telephone_number": "330-249-3960",
            "fax_number": "440-835-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29133 HEALTH CAMPUS DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455256",
            "telephone_number": "440-835-6212",
            "fax_number": "440-835-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBRIDGE",
        "first_name": "STEPHANIE",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.1700363",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1400200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Floyd Brunner, PH.D.
• Joshua Bryan, DO
• Buckeye Family Dental Presented by Dr. Manal Sunna DDS LLC
• Buckeye Healthcare Partners LLC
• Julie L Bukowski
• Stephanie Burger, D.O.
• Kathleen Burkart
• Leah Robin Burke Kilbane, MSN, ACNP, CCRN
• Dan Bernard Burley
• Kathryn Ann Burns, M.D.

• Counselor in Westlake, OH
• Providers in Westlake, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.