Emma Louise Burdick, MS, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.017039 Issued in IL

Practice address

1305 N 2800 East Rd
Windsor, IL 61957-1280

Phone

(309) 634-1252

NPI assigned

Jul 2, 2024

Last updated

May 6, 2025By 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

Other names 1

• Ms. Emma Louise Henning Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1770329401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N 2800 EAST RD",
            "city": "WINDSOR",
            "state": "IL",
            "postal_code": "619571280",
            "telephone_number": "309-634-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N 2800 EAST RD",
            "city": "WINDSOR",
            "state": "IL",
            "postal_code": "619571280",
            "telephone_number": "309-634-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "EMMA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.018561",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.017039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "HENNING",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• City of Windsor (Windsor Area Ambulance Service)
• Rebecca Fogarty
• Vanessa Fritscher, M.S., CCC-SLP
• Glenda Gail Miller, PTA
• Windsor Comm. Unit School Dist 1

• Professional Counselor in Windsor, IL
• Providers in Windsor, IL by specialty
• Professional Counselor in Illinois

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