Debra Ann O'Berry, MA, LPC, CAAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401009368 Issued in MI

Practice address

3827 W Howell Rd
Mason, MI 48854-9537

Phone

(517) 256-6751

Fax

(517) 676-4941

NPI assigned

Feb 21, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Credentials

Master of Arts

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.

• Branch Counseling LLC

  • Counselor
  • Mason, MI
  • NPI 1578937710
  Medicare reassignment NPD

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1174792303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 W HOWELL RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549537",
            "telephone_number": "517-256-6751",
            "fax_number": "517-676-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 W HOWELL RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549537",
            "telephone_number": "517-256-6751",
            "fax_number": "517-676-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BERRY",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, CAAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C00579",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "L1226537",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401009368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Nisse
• Howard Nitz III, MSW
• Joshua Esinwoke Nnanji, MD
• Shari A Nussdorfer, C.N.P.
• Nussdorfercnp LLC
• Lynette O'Connor, N.P.
• Amy J. Odom, DO
• Odyssey Healthcare Holding Company
• Raeann Olger, LLMSW
• Olive Leaf Family Counseling, LLC

• Counselor in Mason, MI
• Providers in Mason, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.