Active NPI
Susan Chipp Berryhill, L.P.C.
- Professional Counselor
- Ashland, OR
National Provider Identifier
1376677575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C0060
- Practice address
- 850 Siskiyou Blvd
Suite 9
Ashland, OR 97520-2125 - Phone
- (541) 482-2780
- Fax
- (541) 482-2780
- NPI assigned
- Mar 16, 2007
- 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 | C0060 | OR | Primary |
Addresses
Primary practice location
850 Siskiyou Blvd
Suite 9
Ashland, OR 97520-2125
Mailing address
PO Box 1316
Ashland, OR 97520-0044
Phone (541) 482-2780
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 |
|---|---|---|---|
| C0060 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potential Unlimited | Professional | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376677575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1316",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975200044",
"telephone_number": "541-482-2780",
"fax_number": "541-482-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 SISKIYOU BLVD",
"address_2": "SUITE 9",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975202125",
"telephone_number": "541-482-2780",
"fax_number": "541-482-2780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRYHILL",
"first_name": "SUSAN",
"middle_name": "CHIPP",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C0060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.