Organization Active NPI

Bern Counseling Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Bern, NC
National Provider Identifier
1346324381
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BERN COUNSELING GROUP, LLC
Practice address
1315 S Glenburnie Rd
Ste. D-17
New Bern, NC 28562-2613
Phone
(252) 634-2855
Fax
(252) 634-2955
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Katherine D Wyatt, LPC
Title
Ceo
Phone
(252) 634-2855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1315 S Glenburnie Rd
Ste. D-17
New Bern, NC 28562-2613

Mailing address

1315 S Glenburnie Rd
Ste. D-17
New Bern, NC 28562-2613
Phone (252) 634-2855

Other identifiers 4

IdentifierTypeStateIssuer
6005874MedicaidNC
381759OtherNCTRICARE
128707OtherNCMEDCOST
018E0OtherNCBC

National Provider Directory

National Provider Directory

Locations

1315 S Glenburnie Rd
Ste D17
New Bern, NC 28562
Phone (252) 634-2855

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346324381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S GLENBURNIE RD",
            "address_2": "STE. D-17",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622613",
            "telephone_number": "252-634-2855",
            "fax_number": "252-634-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S GLENBURNIE RD",
            "address_2": "STE. D-17",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622613",
            "telephone_number": "252-634-2855",
            "fax_number": "252-634-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERN COUNSELING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-634-2855",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005874",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "381759",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "128707",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "018E0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.