Jeremy J Berry, LPC
Individual provider Active NPI Professional Counselor · Plainview, TX
NPI 1104130202 · NPPES record last updated Jul 30, 2010
Key facts
- NPI
- 1104130202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 64038 (TX)
- Practice address
- 907 Zephyr St
Plainview, TX 79072-6727 - Phone
- (806) 281-8400
- NPI assigned
- Jul 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64038 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speakeasy Counseling, LLC | Professional | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 64038 | TX | Yes |
Addresses
Primary practice location
907 Zephyr St
Plainview, TX 79072-6727
Mailing address
907 Zephyr St
Plainview, TX 79072-6727
Phone (806) 281-8400
Other providers in Plainview, TX
- Crystal Lynn Backus
- John Kent Ballard
- Christy Michelle Beard
- Carole A Bell
- Crystal Bennett
- Marilyn Malouf Biggs
- Bio-Medical Applications of Texas, Inc.
- Sally Ann Bird
- Rachel Kay Bissett
- Joe Dale Bradshaw
All providers in Plainview, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.