Active NPI
Kerry Berner, LMHC
- Mental Health Counselor
- Merritt Island, FL
National Provider Identifier
1124486279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH#13997
- Practice address
- 270 N Sykes Creek Pkwy Ste 106
Merritt Island, FL 32953-3494 - Phone
- (321) 323-9069
- NPI assigned
- Feb 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH#13997 | FL | Primary |
Addresses
Primary practice location
270 N Sykes Creek Pkwy Ste 106
Merritt Island, FL 32953-3494
Mailing address
270 N Sykes Creek Pkwy Ste 106
Merritt Island, FL 32953-3494
Phone (321) 323-9069
Other practice location 1
335 Hibiscus Ave
Merritt Island, FL 32953-4750
Phone (321) 323-9069
Other practice location 2
335 Hibiscus Ave
Merritt Island, FL 32953-4750
Phone (321) 323-9069
Other practice location 3
1019 Harvin Way Ste 110
Rockledge, FL 32955-3286
Phone (321) 323-9069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH#13997 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brevard Counseling, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Merritt Island, FL
- NPI 1336507268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1124486279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 N SYKES CREEK PKWY STE 106",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329533494",
"telephone_number": "321-323-9069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 N SYKES CREEK PKWY STE 106",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329533494",
"telephone_number": "321-323-9069"
}
],
"practiceLocations": [
{
"address_1": "335 Hibiscus Ave",
"address_purpose": "LOCATION",
"city": "Merritt Island",
"state": "FL",
"postal_code": "329534750",
"country_code": "US",
"telephone_number": "321-323-9069",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "335 Hibiscus Ave",
"address_purpose": "LOCATION",
"city": "Merritt Island",
"state": "FL",
"postal_code": "329534750",
"country_code": "US",
"telephone_number": "321-323-9069",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1019 Harvin Way Ste 110",
"address_purpose": "LOCATION",
"city": "Rockledge",
"state": "FL",
"postal_code": "329553286",
"country_code": "US",
"telephone_number": "321-323-9069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNER",
"first_name": "KERRY",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH#13997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.