NPPES file of Aug 9, 2026

Kelly J. Burg, LCSW,SAC

Mental Health Counselor · Lac Du Flambeau, WI

Kelly J. Burg, LCSW,SAC is a mental health counselor with a practice address in Lac Du Flambeau, Wisconsin, and NPI 1639421373, issued on Oct 4, 2012. Check the license (Wisconsin 8996-123, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1639421373
Name
Kelly J. Burg
Credential
LCSW,SAC
Primary taxonomy
Mental Health Counselor 101YM0800X
License numbers
8996-123 WI
15508-131 WI
Self-reported in NPPES; status is on the state search
Practice location
533 Peace Pipe Road, Lac Du Flambeau, WI 54538
Phone
(715) 588-1511
Enumerated
Oct 4, 2012
Record last updated
Apr 22, 2026
Fax
(715) 588-3903
Medicaid ID
1639421373 WI
Medicare enrollment
Enrolled (PECOS I20230725001492); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest mental health counselor records → All 2,622 in Wisconsin → Look up another NPI →

Also registered at 533 Peace Pipe Road

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Patrick Day, RADC1Addiction (Substance Use Disorder) Counselor1487782868
  2. Regina Fox, LPC, CSACProfessional Counselor1013420322
  3. Kevin Knudson, CADCIIIAddiction (Substance Use Disorder) Counselor1578691960
  4. Debra Neddo, CADCIIIAddiction (Substance Use Disorder) Counselor1275661662
  5. Robert Polfus, MAMental Health Counselor1649308040
  6. Patricia Ustianowski, CADCIIIAddiction (Substance Use Disorder) Counselor1497883888

Verify Kelly J. Burg in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
    Search for license 8996-123    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Lac DU Flambeau Band OF Lake Superior Chippewa IndiansLac Du Flambeau, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kelly J. Burg among 2,622 mental health counselor records in Wisconsin

Kelly J. Burg, LCSW,SAC is one of 2,622 mental health counselor records with a practice address in Wisconsin. 11% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 24% of them.

  • NPI issued2012 · 24% of these records are older, 73% newer
  • In a Medicare fileYes · 11% of these records are
  • In the CMS Doctors and Clinicians fileYes · 15% of these records are
  • Graduated2013 · median 2016 among the 390 with a school on file
  • Record last updated2026 · 43% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

4 mental health counselor records list a practice address in Lac Du Flambeau

They are 4 of the 83 NPPES records with a practice address in Lac Du Flambeau, and 2,622 mental health counselor records in Wisconsin.

All 2,622 in Wisconsin → Every provider in Lac Du Flambeau → Mental Health Counselor nationwide →

The 8 mental health counselor records with the nearest ZIP codes

  1. Linda Daniels, LCSWLac Du Flambeau, WI 545381689712770
  2. Briana Hoban, LCSWLac Du Flambeau, WI 545381104563808
  3. Robert Polfus, MALac Du Flambeau, WI 545381649308040
  4. Kathyrn Lewis, LPC, CSAC, ICSLaona, WI 545411609149848
  5. Laura Dickson, LPCMinocqua, WI 545481245403096
  6. Patricia Hess, MSE, LPC, NCCMinocqua, WI 545481609915123
  7. Shirley LimbergMinocqua, WI 545481053432344
  8. Diane Smith, LPC, NBCC, CADCMinocqua, WI 545481730393794

Common questions

What is Kelly J. Burg, LCSW,SAC's NPI number?

Kelly J. Burg, LCSW,SAC's National Provider Identifier (NPI) is 1639421373, issued on Oct 4, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Kelly J. Burg, LCSW,SAC located?

The NPPES record lists a practice address at 533 Peace Pipe Road, Lac Du Flambeau, WI, 54538. Phone: (715) 588-1511. Providers update this record themselves, so call before visiting.

How can I verify Kelly J. Burg, LCSW,SAC's license?

NPPES lists Wisconsin license number 8996-123, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.