Mendalyn Berry, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

19751 Mainstreet, Suite 395
Parker, CO 80138

Phone

(720) 924-1117

NPI assigned

Jul 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mindy Berry Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563580800000",
    "number": "1427601228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12189 BLACKWELL WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19751 MAINSTREET, SUITE 395",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80138",
            "telephone_number": "720-924-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "MENDALYN",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-20",
        "last_updated": "2019-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mindyberrycounseling.com",
            "affiliation": "N",
            "address_1": "19751 Mainstreet, suite 395",
            "city": "Parker",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "BERRY",
            "credential": "LPCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Parker, CO
• Providers in Parker, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; 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.