Active NPI
Sarah Jean Burgess, LPCC
- Professional Counselor
- New Philadelphia, OH
National Provider Identifier
1932699014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2203014
- Practice address
- 1845 May Valley Rd SW
New Philadelphia, OH 44663-7948 - Phone
- (330) 407-1959
- NPI assigned
- May 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.2203014 | OH | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.161971 | OH |
Addresses
Primary practice location
1845 May Valley Rd SW
New Philadelphia, OH 44663-7948
Mailing address
1845 May Valley Rd SW
New Philadelphia, OH 44663-7948
Phone (330) 407-1959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICDC.161971 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E.2203014 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coleman Professional Services, Inc. | Professional | Current | Accepting new patients |
Locations
5982 Rhodes Rd
Kent, OH 44240
Phone (330) 676-6875
Organizations & group practices 1
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": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1932699014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 MAY VALLEY RD SW",
"city": "NEW PHILADELPHIA",
"state": "OH",
"postal_code": "446637948",
"telephone_number": "330-407-1959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 MAY VALLEY RD SW",
"city": "NEW PHILADELPHIA",
"state": "OH",
"postal_code": "446637948",
"telephone_number": "330-407-1959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "SARAH",
"middle_name": "JEAN",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2203014",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.161971",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Philadelphia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.