Brittany Joy Berge, MA, LMFT
Individual provider Active NPI Marriage & Family Therapist · Buffalo, MN
NPI 1356089445 · NPPES record last updated May 26, 2022
Key facts
- NPI
- 1356089445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 308 12TH Ave S.
Buffalo, MN 55313 - Phone
- (651) 829-1861
- NPI assigned
- May 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240119001484 | MN | Practitioner - Marriage and Family Therapist | 0446602973 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanda Counseling and Psychological Services | Current |
Accepting new patients |
Locations
14000 Northdale Blvd
Ste I
Rogers, MN 55374
Phone (763) 575-8086
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
308 12TH Ave S.
Buffalo, MN 55313
Mailing address
PO Box 308
Waverly, MN 55390
Phone (651) 829-1861
Other providers in Buffalo, MN
- Mary Penelope Bartzen
- Anita Emilie Bazan
- Deanna Dorothy Becker
- Shawna Mae Beckers
- Stacy Behrens
- Jessica Bergman
- BFS PA
- Kayla Lee Ellen Louise Bickford
- Bio-Medical Applications of Minnesota, Inc.
- Tamra L Blahut
All providers in Buffalo, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.