Active NPI
Michele Berberena, PPS
- School Counselor
- Grass Valley, CA
National Provider Identifier
1376300970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 190119219
- Practice address
- 11130 Magnolia Rd
Grass Valley, CA 95949-8366 - Phone
- (530) 268-3700
- NPI assigned
- Mar 1, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 190119219 | CA | Primary |
Addresses
Primary practice location
11130 Magnolia Rd
Grass Valley, CA 95949-8366
Mailing address
11130 Magnolia Rd
Grass Valley, CA 95949-8366
Phone (530) 268-3700
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 |
|---|---|---|---|
| 190119219 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1376300970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11130 MAGNOLIA RD",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959498366",
"telephone_number": "530-268-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11130 MAGNOLIA RD",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959498366",
"telephone_number": "530-268-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERBERENA",
"first_name": "MICHELE",
"credential": "PPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-01",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "190119219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.