Marcy Anne Berg, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3737 Portland Rd NE
Salem, OR 97301-0311

Phone

(503) 390-2600

Fax

(503) 304-1310

NPI assigned

Sep 20, 2011

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

Other names 1

• Marcy Anne Berg Former name

Medicare fee-for-service enrollment

Enrolled in OR

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 Science

Practice roles

Locations

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.

• Yamhill County

  • Community/Behavioral Health Agency
  • McMinnville, OR
  • NPI 1891821500
  Medicare reassignment NPD
• Yamhill County

  dba Yamhill County Chemical Dependency Program

  • Community/Behavioral Health Agency
  • McMinnville, OR
  • NPI 1972669539
  NPD

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1285917955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 PORTLAND RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010311",
            "telephone_number": "503-390-2600",
            "fax_number": "503-304-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 PORTLAND RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010311",
            "telephone_number": "503-390-2600",
            "fax_number": "503-304-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "MARCY",
        "middle_name": "ANNE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCY",
            "last_name": "BERG",
            "middle_name": "ANNE",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carlene Benson, MSW, LCSW
• Lonny Benson
• Brooke Marie Benton
• Dara Benton
• Steven R Beranek, MD
• Scott Berg, DPM
• Stephanie Berg
• Karan Berger, PSY. D., MSW
• Edie Berglund
• Marcus Eric Berglund, LMFT

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.