Individual provider Active NPI

Clifton George Burns Jr., L.C.P.C.

  • Professional Counselor
  • Lisle, IL
National Provider Identifier
1588039218
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180009724 Issued in IL
Practice address
3333 Warrenville Rd Ste 200
Lisle, IL 60532-1999
Phone
(630) 923-5838
Fax
(630) 618-3658
NPI assigned
Dec 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180009724 IL Primary

Addresses

Primary practice location

3333 Warrenville Rd Ste 200
Lisle, IL 60532-1999

Mailing address

2182 Middlebury Dr
Aurora, IL 60503-5435
Phone (630) 923-5838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241009001629 IL Practitioner - Mental Health Counselor 3072044411 Reassigns benefits to 1 organization
I20241030002317 MN Practitioner - Mental Health Counselor 3072044411 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180009724ILMDProfessional Counselor
3174MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Aug 27, 2024 Accepting new patients
TXM Consultative Services, PLLC Professional CurrentSince Jul 9, 2025 Accepting new patients
Thy X My Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

3333 Warrenville Rd
Ste 200
Lisle, IL 60532
Phone (630) 962-4457

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1588039218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2182 MIDDLEBURY DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605035435",
            "telephone_number": "630-923-5838",
            "fax_number": "630-618-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 WARRENVILLE RD STE 200",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321999",
            "telephone_number": "630-923-5838",
            "fax_number": "630-618-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "CLIFTON",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-07",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

Verify at the official NPI Registry.