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

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Inspiration Counseling, LLC Professional Past
since Jul 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
301100MedicaidSC

Other providers in Greer, SC

All providers in Greer, SC · Professional Counselor in South Carolina

Sources for this page

Verify at the official NPI Registry.