Rita Berry, LPC
Individual provider Active NPI Professional Counselor · Charlotte, NC
NPI 1386785707 · NPPES record last updated Dec 10, 2012
Key facts
- NPI
- 1386785707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 4480 (NC)
- Practice address
- 1973 J N Pease PL
Suite 201
Charlotte, NC 28262-4547 - Phone
- (704) 394-8949
- Fax
- (704) 393-3360
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4480 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
Interoperability endpoints
- ritaberry@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4480 | NC | Yes |
Addresses
Primary practice location
1973 J N Pease PL
Suite 201
Charlotte, NC 28262-4547
Mailing address
1973 J N Pease PL
Suite 201
Charlotte, NC 28262-4547
Phone (704) 394-8949
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102353 | Medicaid | NC |
Other providers in Charlotte, NC
- Jordan Berry
- Khalia Z Berry
- Lauren Frank Berry
- Linda Berry
- Patricia Berry
- Sharisse Berry
- Sonya Lachelle Berry
- Yasmine Berry
- Madelon Sydney Berryhill
- Keith T Bersch
All providers in Charlotte, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.