Active NPI
Michelle Renea Berendsen, LPC
- Community/Behavioral Health Agency
- Philipsburg, PA
National Provider Identifier
1093339079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 171 Teaberry Dr
Philipsburg, PA 16866-9031 - Phone
- (859) 801-1461
- NPI assigned
- Jun 4, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Counselor | 101YM0800X | PC019252 | PA |
Addresses
Primary practice location
171 Teaberry Dr
Philipsburg, PA 16866-9031
Mailing address
171 Teaberry Dr
Philipsburg, PA 16866-9031
Phone (859) 801-1461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC019252 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Youth Advocate Program, Inc | Single Specialty | Current | Accepting new patients |
| National Youth Advocate Program, Inc | Single Specialty | Past | Accepting new patients |
Locations
7 Waveland Ave
Winchester, KY 40391
Phone (859) 385-4669
1801 Watermark Dr
Ste 200
Columbus, OH 43215
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Winchester, KY
- NPI 1508397340
Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1841943495
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1093339079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 TEABERRY DR",
"city": "PHILIPSBURG",
"state": "PA",
"postal_code": "168669031",
"telephone_number": "859-801-1461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 TEABERRY DR",
"city": "PHILIPSBURG",
"state": "PA",
"postal_code": "168669031",
"telephone_number": "859-801-1461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERENDSEN",
"first_name": "MICHELLE",
"middle_name": "RENEA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-04",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC019252",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philipsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.