Leah Berry, LCMHCS, LCAS, CEDS-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

8212 Creedmoor Rd Ste 101
Raleigh, NC 27613-1386

Phone

(919) 883-4478

NPI assigned

Sep 3, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Avery Ridge Counseling, PLLC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1194470666
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1104059443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 CREEDMOOR RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131386",
            "telephone_number": "919-883-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 CREEDMOOR RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131386",
            "telephone_number": "919-883-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "LCMHCS, LCAS, CEDS-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1396",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7485",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Michael Bernstien, M.D.
• Ariel Nichole Berry, PA
• Brendan C Berry, MD
• Joni Ingram Berry, PHARMD
• Kathleen B Berry, M.S.CCC-A
• Trevor Berry, MD
• William R Berry, M.D.
• Bert Center
• Mark Joseph Bertelsen, M.A.
• Emily Berthiaume

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.