Jeanette Latise Berry
Individual provider Active NPI Professional Counselor · Greer, SC
NPI 1033577804 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1033577804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 12207 Daventry Cir
Greer, SC 29650-2256 - Phone
- (864) 361-5513
- NPI assigned
- Feb 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspiration Counseling, LLC | Professional | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
12207 Daventry Cir
Greer, SC 29650-2256
Mailing address
12207 Daventry Cir
Greer, SC 29650-2256
Phone (864) 361-5513
Other practice location 1
124 Mallard St
Greenville, SC 29601-4046
Phone (864) 241-1040 ext. 216
Other practice location 2
248 Adley Way
Greenville, SC 29607-6511
Phone (864) 406-6041
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301100 | Medicaid | SC |
Other providers in Greer, SC
- Bradlee Bell
- Bella Rose Home Care Services, LLC
- Andrea Bento
- Gregory N. Bentzel
- Meredith Bergey Vejnar
- Bruce Berryhill
- Casey Lee Berson
- Johanna B Bertino
- Beth Zweigoron Counseling
- Brett Edward Betsill
All providers in Greer, SC · Professional Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.