Amanda Berge, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180009982 Issued in IL

Practice address

135 Park Ave
LL4
Barrington, IL 60010-4370

Phone

(224) 633-3319

Fax

(847) 713-3993

NPI assigned

Oct 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda J Berge Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vitality Counseling

  • Professional Counselor
  • Algonquin, IL
  • NPI 1972962272
  NPD (past) Authorized official

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487025862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PARK AVE",
            "address_2": "LL4",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104370",
            "telephone_number": "224-633-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PARK AVE",
            "address_2": "LL4",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104370",
            "telephone_number": "224-633-3319",
            "fax_number": "847-713-3993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1192 E Algonquin Rd",
            "address_purpose": "LOCATION",
            "city": "Algonquin",
            "state": "IL",
            "postal_code": "601023084",
            "country_code": "US",
            "telephone_number": "224-633-3319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGE",
        "first_name": "AMANDA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178009847",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BERGE",
            "middle_name": "J",
            "credential": "LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Behzad Farah MD SC
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• Linda Benjamin, LCSW
• Karen Benoit, RN
• Tina Louise Bernardi, ACNP
• Eric J Bessonny, M.D.
• Best Practices Inpatient Care, LTD
• Best Practices Inpatient Care, LTD.
• Best Practices Inpatient Care, LTD.

• Professional Counselor in Barrington, IL
• Providers in Barrington, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.