Jonny Berry, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2907 Issued in MS

Practice address

971 Lakeland Dr Ste 654
Jackson, MS 39216-4605

Phone

(601) 982-1010

Fax

(601) 366-0436

NPI assigned

Feb 7, 2023

Last updated

Jan 4, 2024By the provider in NPPES

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

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Watchman Group Inc.

  dba Ellie Mental Health - Ridgeland, MS

  • Mental Health Counselor
  • Ridgeland, MS
  • NPI 1740904366
  Medicare reassignment NPD
• Jberry, LPC, LLC

  • Counselor
  • Jackson, MS
  • NPI 1821868159
  Authorized official Same address or phone

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1124724539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 1159",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164609",
            "telephone_number": "601-982-1010",
            "fax_number": "601-366-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 654",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164605",
            "telephone_number": "601-982-1010",
            "fax_number": "601-366-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "JONNY",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-07",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "2907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Adams Bergeron, DPT
• William Brandon Bergeron, MD
• Patrick Finley Bergin, M.D.
• William Paul Berlin Jr., M.D.
• John Paul Berman
• Kristen Berry, CRNA
• Marcus Berry, NP
• Ray M Berry, R.PH.
• Regina Berry, CNP
• Teddi Leigh Berry, M.D.

• Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.