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

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.

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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Vanda Counseling and Psychological Services Current
since Jan 1, 2024
Accepting new patients

Locations

14000 Northdale Blvd
Ste I
Rogers, MN 55374
Phone (763) 575-8086

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Buffalo, MN · Marriage & Family Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.