Individual provider Active NPI

Yvonne Louise Berry, M.A.L.L.P.C.

  • Professional Counselor
  • Southgate, MI
National Provider Identifier
1104001486
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401009699 Issued in MI
Practice address
13101 Allen Rd
Suite 400
Southgate, MI 48195-2216
Phone
(734) 785-7705
Fax
(734) 785-7734
NPI assigned
Jan 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401009699 MI Primary

Addresses

Primary practice location

13101 Allen Rd
Suite 400
Southgate, MI 48195-2216

Mailing address

13101 Allen Rd
Suite 400
Southgate, MI 48195-2216
Phone (734) 785-7705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240326001142 MI Practitioner - Mental Health Counselor 9638516669 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401009699MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hegira Health, Inc CurrentSince Mar 4, 2024 Accepting new patients
Hegira Health, Inc. CurrentSince Mar 4, 2024 Accepting new patients
The Guidance Center PastSince Dec 15, 2024 Accepting new patients

Locations

1403 Inkster Rd
Inkster, MI 48141
Phone (313) 565-2200

37450 Schoolcraft Rd
Ste 170
Livonia, MI 48150
Phone 7344584601235

37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611

8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469

Organizations & group practices 3

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": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1104001486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 ALLEN RD",
            "address_2": "SUITE 400",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952216",
            "telephone_number": "734-785-7705",
            "fax_number": "734-785-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 ALLEN RD",
            "address_2": "SUITE 400",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952216",
            "telephone_number": "734-785-7705",
            "fax_number": "734-785-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "YVONNE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "M.A.L.L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.