Active NPI
Christopher Lyn Berry, LPC
- Professional Counselor
- Columbia, SC
National Provider Identifier
1528635901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8871
- Practice address
- 1415 Blanding St Ste 4
Columbia, SC 29201-2922 - Phone
- (803) 814-5044
- NPI assigned
- Jun 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8871 | SC | Primary |
Addresses
Primary practice location
1415 Blanding St Ste 4
Columbia, SC 29201-2922
Mailing address
1558 Beasley Creek Dr
Blythewood, SC 29016-7140
Phone (803) 741-8011
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.BrokenBridgesOutreach.com | Direct | |
| Other URL | www.brightertomorrowcounseling.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8871 | SC | MD | Anatomic Pathology & Clinical Pathology Physician |
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.
-
- Professional Counselor
- Columbia, SC
- NPI 1154011666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1528635901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1558 BEASLEY CREEK DR",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290167140",
"telephone_number": "803-741-8011",
"fax_number": "803-779-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 BLANDING ST STE 4",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012922",
"telephone_number": "803-814-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "CHRISTOPHER",
"middle_name": "LYN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-05",
"last_updated": "2023-05-12",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "8871",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.BrokenBridgesOutreach.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Consent form",
"address_1": "1415 Blanding St Ste 4",
"city": "Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "292012922",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.brightertomorrowcounseling.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Consent Form",
"address_1": "1415 Blanding St Ste 4",
"city": "Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "292012922",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.