Khali Berlin, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-3490 Issued in ID

Practice address

531 E 5TH St Unit 3
Burley, ID 83318-1402

Phone

(208) 312-0470

Fax

(208) 678-3556

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• A Plus Solutions Center

  • Adolescent and Children Mental Health Clinic/Center
  • Burley, ID
  • NPI 1124372370
  NPD (past) Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1548383136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833180969",
            "telephone_number": "208-312-0470",
            "fax_number": "208-678-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 E 5TH ST UNIT 3",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181402",
            "telephone_number": "208-312-0470",
            "fax_number": "208-678-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "KHALI",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-3490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Q7335",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chase Beal
• Shelly Beale, LMP
• Stephen Reid Beck, DPT
• Tammi Lynn Beck, MA, EDS
• Erika Renea Bell, MS, RDN, LD
• Colby Bingham, M.D.
• Jacob Bingham, MD
• Marianne Birch
• Wayne H Blauer, MD
• Bodily Brothers Dental

• All providers in Burley, ID
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.