Individual provider Active NPI

Michelle Renea Berendsen, LPC

  • Community/Behavioral Health Agency
  • Philipsburg, PA
National Provider Identifier
1093339079
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC019252PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
National Youth Advocate Program, Inc Single Specialty CurrentSince Aug 9, 2020 Accepting new patients
National Youth Advocate Program, Inc Single Specialty PastSince Jun 7, 2020 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.

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

Verify at the official NPI Registry.