Individual provider Active NPI

Whitney Berg, LMFT

  • Marriage & Family Therapist
  • Willmar, MN
National Provider Identifier
1013360890
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3829 Issued in MN
Practice address
2120 60TH Ave NE
Willmar, MN 56201-9140
Phone
(320) 905-4345
NPI assigned
Jul 18, 2016
Last updated
May 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3829 MN Primary

Addresses

Primary practice location

2120 60TH Ave NE
Willmar, MN 56201-9140

Mailing address

2120 60TH Ave NE
Willmar, MN 56201-9140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20260306001498 MN Practitioner - Marriage and Family Therapist 2769964899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2120 60TH Ave NE
Willmar, MN 56201-9140

99 Wall St
Suite 158
New York, NY 10005-4301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3829MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Berg Company LLC Marriage & Family Therapist CurrentSince Jan 22, 2026 Accepting new patients

Locations

2120 60th Ave NE
Willmar, MN 56201
Phone (320) 403-5047

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1013360890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 60TH AVE NE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562019140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 60TH AVE NE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562019140",
            "telephone_number": "320-905-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "WHITNEY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2024-05-02",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

Verify at the official NPI Registry.