Active NPI
Jamie Berg
- Mental Health Counselor
- Langhorne, PA
National Provider Identifier
1053795716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2005 Cabot Blvd W Ste 100
Langhorne, PA 19047-1898 - Phone
- (267) 587-2300
- NPI assigned
- Jul 13, 2015
- Last updated
- Aug 26, 2015
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2005 Cabot Blvd W Ste 100
Langhorne, PA 19047-1898
Mailing address
430 W 8TH St Apt 5
Lansdale, PA 19446-1841
Phone (813) 220-4468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 29, 2025 through Aug 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1053795716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 W 8TH ST APT 5",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194461841",
"telephone_number": "813-220-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 CABOT BLVD W STE 100",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471898",
"telephone_number": "267-587-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "JAMIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Langhorne, PA
- Emily Bellinger, BSN, RN
- Belmont Court Dialysis Center Inc
- Nedra Bemri, DMD
- Ngozi Victoria Beremeh, MD
- Ruth Enid Berenguer Cruz, LMFT
- Kelly A Bergiven, RD, LDN
- Bergman Pharmacy
- Jennifer Kristin Berkowitz, CRNP
- Natalie Berman, M.D.
- Bernard Medical of Langhorne, PLLC (Insource Urgent Care Center of Langhorne)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.