Individual provider Active NPI

Kristin Anne Berke, LPC

  • Professional Counselor
  • Dublin, VA
National Provider Identifier
1457065146
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701010142 Issued in VA
Practice address
30 Town Center Dr
Dublin, VA 24084-6069
Phone
(540) 779-7516
NPI assigned
Jan 9, 2023
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701010142 VA Primary

Addresses

Primary practice location

30 Town Center Dr
Dublin, VA 24084-6069

Mailing address

375 Clearview Dr
Christiansburg, VA 24073-1800
Phone (757) 409-5283

Other practice location 1

105 Doctors Park
Galax, VA 24333-2277
Phone (276) 263-8410

Other practice location 2

375 Clearview Dr
Christiansburg, VA 24073-1800
Phone (757) 409-5283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240421000041 VA Practitioner - Mental Health Counselor 6002255288 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Virginia, LLC CurrentSince Feb 6, 2024 Accepting new patients

Locations

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

789 Piney Forest Rd
Ste 1
Danville, VA 24540
Phone (434) 208-2987

30 Town Center Dr
Dublin, VA 24084
Phone (540) 779-7516

315 W 10th St
Ste B
Front Royal, VA 22630
Phone (540) 779-7639

105 Doctors Park
Galax, VA 24333
Phone (276) 236-5187

314 Fairy Street Ext
Ste B
Martinsville, VA 24112
Phone (276) 201-1647

338 Coeburn Ave SW
Ste 336
Norton, VA 24273
Phone (276) 325-7608

34 Medical Park Blvd
Ste A
Petersburg, VA 23805
Phone (804) 609-0175

2502 Broadway Ave SW
Roanoke, VA 24014
Phone (540) 329-5325

110 E High St
#B
Woodstock, VA 22664
Phone (540) 779-7491

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1457065146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 CLEARVIEW DR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731800",
            "telephone_number": "757-409-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TOWN CENTER DR",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240846069",
            "telephone_number": "540-779-7516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Doctors Park",
            "address_purpose": "LOCATION",
            "city": "Galax",
            "state": "VA",
            "postal_code": "243332277",
            "country_code": "US",
            "telephone_number": "276-263-8410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Clearview Dr",
            "address_purpose": "LOCATION",
            "city": "Christiansburg",
            "state": "VA",
            "postal_code": "240731800",
            "country_code": "US",
            "telephone_number": "757-409-5283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERKE",
        "first_name": "KRISTIN",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, VA

Sources for this page

Verify at the official NPI Registry.