Individual provider Active NPI

Constina Berry

  • Addiction (Substance Use Disorder) Counselor
  • Washington, DC
National Provider Identifier
1255473633
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1113 Issued in DC
Practice address
1949 4TH St NE
Washington, DC 20002-1211
Phone
(202) 462-7500
NPI assigned
Feb 13, 2007
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1113 DC Primary

Addresses

Primary practice location

1949 4TH St NE
Washington, DC 20002-1211

Mailing address

1949 4TH St NE
Washington, DC 20002-1211
Phone (202) 462-7500

Other identifiers 5

IdentifierTypeStateIssuer
23349OtherDCCHARTERED HEALTH (MCO)
5237OtherDCHEALTHRIGHT (MEDICAID MCO
287814OtherDCAMERIGROUP(MEDICAID MCO)
53347827MedicaidDC
1113OtherDCLICENSE

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

State licenses

LicenseStateTypeSpecialty
1113DCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rap, Inc. PastSince Apr 27, 2025 Accepting new patients
BK Behavioral Health Center Addiction (Substance Use Disorder) Past Accepting new patients
Rap, Inc. PastSince Apr 27, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1255473633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 4TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021211",
            "telephone_number": "202-462-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 4TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021211",
            "telephone_number": "202-462-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "CONSTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "1113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHARTERED HEALTH (MCO)",
            "identifier": "23349",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHRIGHT (MEDICAID MCO",
            "identifier": "5237",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP(MEDICAID MCO)",
            "identifier": "287814",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53347827",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1113",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.