Kelly Berry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.00992761 Issued in CO

Practice address

588 N US Highway 287 Ste 200
Lafayette, CO 80026-2615

Phone

(720) 387-8458

Fax

(720) 306-5190

NPI assigned

Jul 14, 2008

Last updated

Jun 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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 CO

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21271/brand/1/csg/1/fhir/r4

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.

• Lafayette Pediatrics and Internal Medicine

  • Primary Care Clinic/Center
  • Lafayette, CO
  • NPI 1700184322

  Clinical

  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442
  Medicare reassignment NPD
• Kelly Berry, MSW, LCSW, LLC

  • Clinical Social Worker
  • Boulder, CO
  • NPI 1003769894
  NPD Authorized official
• Dr. Sunda Friedman Tebockhorst Psychologicl Services, LTD

  dba Metis Center for Psychological Services and Well Being

  • Psychologist
  • Lafayette, CO
  • NPI 1548657877
  NPD (past)

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1205090883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 N US HIGHWAY 287 STE 200",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262615",
            "telephone_number": "720-387-8458",
            "fax_number": "720-306-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 N US HIGHWAY 287 STE 200",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262615",
            "telephone_number": "720-387-8458",
            "fax_number": "720-306-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00992761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott M Berger, M.D.
• Jonathan Steven Berman, M.D.
• Francesca Mathilde Bernardi
• Megan Berntson
• Constance M Berry, AUD, CCC-A
• William R Berry, MD
• Kim Bertha, RBT
• Angela Besel, PT
• Bespoke Speech Therapies Inc (Creative Strategies Therapy Incorporated)
• Between

• Clinical Social Worker in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.