Cariann M Bergner-Moore, PSYD/PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

16-13P Issued in AR

Practice address

1312 Donaghey Ave
Conway, AR 72034-3807

Phone

(501) 358-6606

NPI assigned

Jul 27, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conway Counseling and Psychological Services PLLCGroup PAC ID 4183933781, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Conway Counseling & Psychological Services, PLLC

  • Professional Counselor
  • Conway, AR
  • NPI 1528454139
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1003369950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 DONAGHEY AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343807",
            "telephone_number": "501-358-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 DONAGHEY AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343807",
            "telephone_number": "501-358-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGNER-MOORE",
        "first_name": "CARIANN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PSYD/PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AR",
            "license": "16-13P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Bailey Bennett, SLP
• Benji Renee Benson, OTR/L
• Kari Benton
• Rickki Benton
• Lauren Marie Berger
• Brian Berkemeyer, LMSW
• Terri Lake Berkshire, MS PT
• Alexander Berumen
• Kelci Besand
• Jehu Besley

• Counseling Psychologist in Conway, AR
• Providers in Conway, AR by specialty
• Counseling Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.