Richard Berg

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMSW-22181 Issued in AZ

Practice address

4115 E Valley Auto Dr Ste 104
Mesa, AZ 85206-4610

NPI assigned

May 24, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1104666452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8638 E ROANOKE AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852571841",
            "telephone_number": "207-356-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 E VALLEY AUTO DR STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4115 E Valley Auto Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064610",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4115 E Valley Auto Dr",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064606",
            "country_code": "US",
            "telephone_number": "207-356-8933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4115 E Valley Auto Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064610",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LMSW-22181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Berardinelli, PNP-PC
• John Bercel, DPT
• Beatrix Berecz
• Ashley Berg, LMSW
• Nadine A Berg
• Pamela Bergen
• Heather Lynn Berger, LPC
• Kaitlin Victoria Berger, PHARMD
• Steven Berger, DMD
• Sydney Jill Berger, PA-C

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.