Organization Active NPI

Berry Well Body Mind LLC

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1114886710
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BERRY WELL BODY MIND LLC
Practice address
318 Samuel Dr Apt 310
Madison, WI 53717-2306
Phone
(708) 408-7079
NPI assigned
Jan 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Shauna Shrewsbury, LCPC, R-DMTNPI 1538754130
Title
Founder/Owner, LCPC
Phone
(708) 408-7079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

318 Samuel Dr Apt 310
Madison, WI 53717-2306

Mailing address

318 Samuel Dr Apt 310
Madison, WI 53717-2306
Phone (708) 408-7079

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1114886710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 SAMUEL DR APT 310",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172306",
            "telephone_number": "708-408-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 SAMUEL DR APT 310",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172306",
            "telephone_number": "708-408-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY WELL BODY MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "SHREWSBURY",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "FOUNDER/OWNER, LCPC",
        "authorized_official_telephone_number": "708-408-7079",
        "authorized_official_credential": "LCPC, R-DMT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.