Individual provider Active NPI

Amy Berger, LPCC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1114816360
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0021051 Issued in CO
Practice address
6680 Gunpark Dr Ste 200C
Boulder, CO 80301-3349
Phone
(970) 331-4493
NPI assigned
Jul 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0021051 CO Primary

Addresses

Primary practice location

6680 Gunpark Dr Ste 200C
Boulder, CO 80301-3349

Mailing address

4408 Heatherhill Cir
Longmont, CO 80503-4184
Phone (970) 331-4493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20251022000768 CO Practitioner - Mental Health Counselor 2365930351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

229 Terry St
Longmont, CO 80501-5930

4408 Heatherhill Cir
Longmont, CO 80503-4184

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0021051COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Healing Collective Professional CurrentSince Jul 22, 2025 Accepting new patients
Colorado Healing Collective Mental Health CurrentSince Sep 2, 2025 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Dec 9, 2025 Accepting new patients

Locations

6680 Gunpark Dr
Ste 200C
Boulder, CO 80301
Phone (970) 331-4493

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

229 Terry St
Longmont, CO 80501
Phone (303) 437-1351

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": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1114816360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 HEATHERHILL CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805034184",
            "telephone_number": "970-331-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6680 GUNPARK DR STE 200C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013349",
            "telephone_number": "970-331-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "AMY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0021051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.