Edward W Berry, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008408 Issued in VA

Practice address

5700 W Grace St Ste 100
Richmond, VA 23226-1832

Phone

(804) 937-8329

Fax

(888) 561-5325

NPI assigned

Jun 24, 2019

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Rva Recovery, LLP

  • Rehabilitation Clinic/Center
  • Richmond, VA
  • NPI 1841891488
  NPD (past) Authorized official
• Cleanslate Medical Group of Virginia, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Mechanicsville, VA
  • NPI 1629549779
  NPD

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1336700129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W GRACE ST STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261832",
            "telephone_number": "804-937-8329",
            "fax_number": "888-561-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W GRACE ST STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261832",
            "telephone_number": "804-937-8329",
            "fax_number": "888-561-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "EDWARD",
        "middle_name": "W",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen David Bernstein, DMD
• Cary Wong Bero, LPC
• Anne Berrang
• Gabriela Berrios-Caldero, PT
• Caitlyn Berry, OTR/L
• Elizabeth Berry, D.D.S.
• James J. Berry, PHARMACIST
• Taniah Berry
• Melissa Diane Berryman
• Virginia G Bertani, CRNA

• Professional Counselor in Richmond, VA
• Providers in Richmond, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.