Kimberly Berry

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015088 Issued in IL

Practice address

103 N 11TH Ave Ste 239
St Charles, IL 60174-2289

Phone

(262) 290-5226

NPI assigned

Jul 10, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Comprehensive Counseling Services

  • Mental Health Counselor
  • Saint Charles, IL
  • NPI 1083357230
  NPD

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1164074118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3N730 NORRIS AVE",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601851136",
            "telephone_number": "622-905-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N 11TH AVE STE 239",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742289",
            "telephone_number": "262-290-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Benesiewicz, ACNP-BC
• Jennifer Berg
• Robert Berg
• Sue Bergstrom
• Autumn E Bernicky, DO
• Andrew Evo Bertagna, DMD, MD
• Charles E. W. Berthold, PH.D.
• Brenda Lee Bertrand, RN
• Cecilia Berumen, APRN FPA
• Best Practices Inpatient Care, LTD.

• Clinical Social Worker in St Charles, IL
• Providers in St Charles, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.