Active NPI
Kylie Berger, LPCC
- Professional Counselor
- Bismarck, ND
National Provider Identifier
1144967506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1092-10-15-20-501
- Practice address
- 801 E Main Ave Ste F
Bismarck, ND 58501-4502 - Phone
- (701) 751-5858
- Fax
- (701) 751-5866
- NPI assigned
- May 17, 2022
- Last updated
- May 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1092-10-15-20A | ND | |
| Professional Counselor | 101YP2500X | 1092-10-15-20-501 | ND | Primary |
Addresses
Primary practice location
801 E Main Ave Ste F
Bismarck, ND 58501-4502
Mailing address
3103 E Calgary Ave Apt 305
Bismarck, ND 58503-1340
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1144967506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 E CALGARY AVE APT 305",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585031340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E MAIN AVE STE F",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014502",
"telephone_number": "701-751-5858",
"fax_number": "701-751-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "KYLIE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-17",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "1092-10-15-20A",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "1092-10-15-20-501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.