Active NPI
Janette Berne
- Professional Counselor
- Dunwoody, GA
National Provider Identifier
1346545738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3933
- Practice address
- 1867 Independence SQ
#200
Dunwoody, GA 30338-5172 - Phone
- (770) 845-0595
- NPI assigned
- Jan 17, 2011
- Last updated
- Jan 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3933 | GA | Primary |
Addresses
Primary practice location
1867 Independence SQ
#200
Dunwoody, GA 30338-5172
Mailing address
1867 Independence SQ
#200
Dunwoody, GA 30338-5172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52197786 | Other | BLUE CROSS BLUE SHIELD OF GEORGIA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3933 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295222400000",
"number": "1346545738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1867 INDEPENDENCE SQ",
"address_2": "#200",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303385172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1867 INDEPENDENCE SQ",
"address_2": "#200",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303385172",
"telephone_number": "770-845-0595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNE",
"first_name": "JANETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-17",
"last_updated": "2011-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "3933",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF GEORGIA",
"identifier": "52197786",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunwoody, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.