Individual provider Active NPI

Egypt C Burge, LPCC

  • Mental Health Counselor
  • Cleveland, OH
National Provider Identifier
1942754874
Registry record updated Mar 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2202812 Issued in OH
Practice address
13110 Shaker SQ # C200-E
Cleveland, OH 44120-2373
Phone
(216) 201-9696
NPI assigned
Aug 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.2202812 OH Primary

Addresses

Primary practice location

13110 Shaker SQ # C200-E
Cleveland, OH 44120-2373

Mailing address

12600 Rockside Rd # 303
Garfield Heights, OH 44125-4525
Phone (216) 543-1194

Other practice location 1

12801 Maple Leaf Dr
Garfield Hts, OH 44125-4030
Phone (216) 543-1194

Other practice location 2

12801 Maple Leaf Dr
Garfield Heights, OH 44125-4030
Phone (216) 543-1194

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

LicenseStateTypeSpecialty
E.2202812OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Counseling and Wellness Services LLC Mental Health CurrentSince Apr 3, 2022 Accepting new patients

Locations

13110 Shaker Sq
#C200E
Cleveland, OH 44120
Phone (216) 201-9696

12600 Rockside Rd
Garfield Hts, OH 44125
Phone (216) 245-8249

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": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648252800000",
    "number": "1942754874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 ROCKSIDE RD # 303",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441254525",
            "telephone_number": "216-543-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13110 SHAKER SQ # C200-E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202373",
            "telephone_number": "216-201-9696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12801 Maple Leaf Dr",
            "address_purpose": "LOCATION",
            "city": "Garfield Hts",
            "state": "OH",
            "postal_code": "441254030",
            "country_code": "US",
            "telephone_number": "216-543-1194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12801 Maple Leaf Dr",
            "address_purpose": "LOCATION",
            "city": "Garfield Heights",
            "state": "OH",
            "postal_code": "441254030",
            "country_code": "US",
            "telephone_number": "216-543-1194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGE",
        "first_name": "EGYPT",
        "middle_name": "C",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2202812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; 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.