Active NPI
Michael Hawthorne Berni, MED
- Marriage & Family Therapist
- Seattle, WA
National Provider Identifier
1306039151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF00001387
- Practice address
- 4026 NE 55TH St
#A
Seattle, WA 98105 - Phone
- (206) 625-0904
- NPI assigned
- Aug 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH0003749 | WA | |
| Marriage & Family Therapist | 106H00000X | LF00001387 | WA | Primary |
Addresses
Primary practice location
4026 NE 55TH St
#A
Seattle, WA 98105
Mailing address
4026 NE 55TH St
#A
Seattle, WA 98105
Phone (206) 625-0904
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH0003749 | WA | MD | Mental Health Counselor |
| LF00001387 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1306039151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4026 NE 55TH ST",
"address_2": "#A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105",
"telephone_number": "206-625-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4026 NE 55TH ST",
"address_2": "#A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105",
"telephone_number": "206-625-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNI",
"first_name": "MICHAEL",
"middle_name": "HAWTHORNE",
"name_prefix": "Mr.",
"credential": "MED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-24",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH0003749",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF00001387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.