Individual provider Active NPI

Louis A Bersine, LLP

  • Behavior Analyst
  • Escanaba, MI
National Provider Identifier
1386660892
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401000436 Issued in MI
Practice address
2820 College Ave
Escanaba, MI 49829-9591
Phone
(906) 233-1236
Fax
(906) 233-1235
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6301008428 MI
Behavior Analyst 103K00000X 7401000436 MI Primary

Addresses

Primary practice location

2820 College Ave
Escanaba, MI 49829-9591

Mailing address

2500 7TH Ave S Ste 100
Escanaba, MI 49829-1176
Phone (906) 233-1236

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

LicenseStateTypeSpecialty
6301008428MIMDMental Health Counselor
7401000436MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Community Mental Heatlh Past Accepting new patients
Pathways PastSince Oct 20, 2006 Accepting new patients

Organizations & group practices 2

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1386660892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 7TH AVE S STE 100",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291176",
            "telephone_number": "906-233-1236",
            "fax_number": "906-233-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 COLLEGE AVE",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498299591",
            "telephone_number": "906-233-1236",
            "fax_number": "906-233-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSINE",
        "first_name": "LOUIS",
        "middle_name": "A",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6301008428",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.