Individual provider Active NPI

Rebecca Ann Berg, LICENSED MFC

  • Marriage & Family Therapist
  • Cerritos, CA
National Provider Identifier
1114055084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 43310 Issued in CA
Practice address
10929 South St
Suite 214B
Cerritos, CA 90703-5340
Phone
(562) 865-6444
Fax
(562) 865-5864
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 43310 CA Primary

Addresses

Primary practice location

10929 South St
Suite 214B
Cerritos, CA 90703-5340

Mailing address

10929 South St
Suite 214B
Cerritos, CA 90703-5340
Phone (562) 865-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 16, 2024 through Dec 16, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 43310CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Family Guidance Center PastSince Aug 25, 2024 Accepting new patients
Community Family Guidance Center Past Accepting new patients

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114055084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10929 SOUTH ST",
            "address_2": "SUITE 214B",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035340",
            "telephone_number": "562-865-6444",
            "fax_number": "562-865-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10929 SOUTH ST",
            "address_2": "SUITE 214B",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035340",
            "telephone_number": "562-865-6444",
            "fax_number": "562-865-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LICENSED MFC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 43310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.