Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kelly J Burg, LCSW,SAC

Mental Health Counselor in Lac Du Flambeau, WI · enumerated 2012 · practices at Lac Du Flambeau Band of Lake Superior Chippewa Indians.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639421373

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Registry record

Entity type Individual (Type 1)

Name Kelly J Burg

Credential LCSW,SAC

Sex Female

Practice address 533 Peace Pipe Road, Lac Du Flambeau, WI, 54538

Phone (715) 588-1511

Fax (715) 588-3903

Enumeration date Oct 4, 2012

Last updated in NPPES Apr 22, 2026

Taxonomy & licenses

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 8996-123 (WI) Primary

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 15508-131 (WI) Secondary

LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

Other identifiers

Identifier	Type	State	Issuer
1639421373	Medicaid	WI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1639421373 active?

Yes, as of the latest NPPES snapshot, NPI 1639421373 is active (record last updated 2026-04-22).

How do I verify Kelly Burg's NPI record?

Cross-check NPI 1639421373 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-22.