Courtney Berens
Individual provider Active NPI Professional Counselor · Maynard, MA
NPI 1043676745 · NPPES record last updated Nov 14, 2023
Key facts
- NPI
- 1043676745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 7978-125 (WI)
- Practice address
- 141 Parker St Ste 306
Maynard, MA 01754-2180 - Phone
- (267) 937-3340
- NPI assigned
- Jan 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7978-125 | WI | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | 7978-125 | WI | Yes |
Addresses
Primary practice location
141 Parker St Ste 306
Maynard, MA 01754-2180
Mailing address
141 Parker St Ste 306
Maynard, MA 01754-2180
Phone (267) 937-3340
Other practice location 1
3900 W Brown Deer Rd Ste 200
Brown Deer, WI 53209-1220
Phone (414) 540-2170
Other practice location 2
514 Riverview Ave
Waukesha, WI 53188-3631
Phone (262) 548-7719
Other providers in Maynard, MA
- Gery Armsby
- Balanced Mind & Wellness
- Morgan Olympia Baldwin
- Adriane Barrera
- Benjamin Roth DMD PLLC
- Kimberly Marie Boeke
- Monica Bolton
- Melinda Bowens
- Brain Body Synergy LLC
- Wendy Anne Calender
All providers in Maynard, MA · Professional Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 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.