Active NPI
Susan Z Berg, MS, LGC
- Genetic Counselor (M.S.)
- Lebanon, NH
National Provider Identifier
1164084778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- 0010
- Practice address
- One Medical Center Drive
Dartmouth Hitchcock Medical Center
Lebanon, NH 03756 - Phone
- (603) 653-3541
- Fax
- (603) 650-2902
- NPI assigned
- Jul 3, 2019
- Last updated
- Jul 3, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | 0010 | NH | Primary |
Addresses
Primary practice location
One Medical Center Drive
Dartmouth Hitchcock Medical Center
Lebanon, NH 03756
Mailing address
One Medical Center Drive
Dartmouth Hitchcock Medical Center
Lebanon, NH 03756
Phone (603) 653-3541
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1164084778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE MEDICAL CENTER DRIVE",
"address_2": "DARTMOUTH HITCHCOCK MEDICAL CENTER",
"city": "LEBANON",
"state": "NH",
"postal_code": "03756",
"telephone_number": "603-653-3541",
"fax_number": "603-650-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE MEDICAL CENTER DRIVE",
"address_2": "DARTMOUTH HITCHCOCK MEDICAL CENTER",
"city": "LEBANON",
"state": "NH",
"postal_code": "03756",
"telephone_number": "603-653-3541",
"fax_number": "603-650-2902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "SUSAN",
"middle_name": "Z",
"credential": "MS, LGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "NH",
"license": "0010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.