Active NPI
Jeanette Latise Berry
- Professional Counselor
- Greer, SC
National Provider Identifier
1033577804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 12207 Daventry Cir
Greer, SC 29650-2256 - Phone
- (864) 361-5513
- NPI assigned
- Feb 8, 2016
- Last updated
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
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
248 Adley Way
Greenville, SC 29607-6511
Phone (864) 406-6041
Other practice location 2
124 Mallard St
Greenville, SC 29601-4046
Phone (864) 241-1040 ext. 216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspiration Counseling, LLC | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Spartanburg, SC
- NPI 1609501014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1033577804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12207 DAVENTRY CIR",
"city": "GREER",
"state": "SC",
"postal_code": "296502256",
"telephone_number": "864-361-5513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12207 DAVENTRY CIR",
"city": "GREER",
"state": "SC",
"postal_code": "296502256",
"telephone_number": "864-361-5513"
}
],
"practiceLocations": [
{
"address_1": "248 Adley Way",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296076511",
"country_code": "US",
"telephone_number": "864-406-6041",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "124 Mallard St",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296014046",
"country_code": "US",
"telephone_number": "864-241-1040 x216",
"fax_number": "864-241-8189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERRY",
"first_name": "JEANETTE",
"middle_name": "LATISE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-08",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.