Individual provider Active NPI

Michael Joseph Berzinsky

  • Mental Health Counselor
  • Kent, OH
National Provider Identifier
1477980266
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0002307 Issued in OH
Practice address
143 Gougler Ave
Kent, OH 44240-2401
Phone
(330) 677-4124
Fax
(330) 677-4134
NPI assigned
Oct 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E0002307 OH Primary

Addresses

Primary practice location

143 Gougler Ave
Kent, OH 44240-2401

Mailing address

426 Garrett St
Kent, OH 44240-3212
Phone (330) 678-8322

Other names 1

  • Michael J Berzinsky Professional name

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
E0002307OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1477980266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 GARRETT ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442403212",
            "telephone_number": "330-678-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 GOUGLER AVE",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402401",
            "telephone_number": "330-677-4124",
            "fax_number": "330-677-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERZINSKY",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0002307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "BERZINSKY",
            "middle_name": "J",
            "credential": "PCC-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kent, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.