Active NPI
Jessica Aurora Berrio
- Mental Health Counselor
- Glendale, AZ
National Provider Identifier
1548475353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7656912-3501
- Practice address
- 7055 W Bell Rd
Suite 21
Glendale, AZ 85308-8544 - Phone
- (632) 878-2037
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7656912-3501 | UT | Primary |
Addresses
Primary practice location
7055 W Bell Rd
Suite 21
Glendale, AZ 85308-8544
Mailing address
10486 N Canterbury Dr
Highland, UT 84003-9305
Phone (801) 669-6104
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7656912-3501 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1548475353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10486 N CANTERBURY DR",
"city": "HIGHLAND",
"state": "UT",
"postal_code": "840039305",
"telephone_number": "801-669-6104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7055 W BELL RD",
"address_2": "SUITE 21",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088544",
"telephone_number": "632-878-2037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRIO",
"first_name": "JESSICA",
"middle_name": "AURORA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "7656912-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.