Individual provider Active NPI

Ashley Leann Berg, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Auburn, NY
National Provider Identifier
1558971002
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
407171 Issued in NY
Practice address
17 E Genesee St Ste 1
Auburn, NY 13021-4068
Phone
(315) 253-9795
NPI assigned
Aug 8, 2020
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407171 NY Primary

Addresses

Primary practice location

17 E Genesee St Ste 1
Auburn, NY 13021-4068

Mailing address

315 Madison Ave RM 2000
New York, NY 10017-5416
Phone (646) 661-5225

Other practice location 1

315 Madison Ave Rm 2000
New York, NY 10017-5416
Phone (646) 661-5225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250902000366 NY Practitioner - Nurse Practitioner 6901307867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Cayuga Counseling Services IncGroup PAC ID 5890734537, 8 clinicians
Empire State Psychiatric Medicine PLLCGroup PAC ID 0840721825, 10 clinicians

Practice addresses (Care Compare)

17 E Genesee St
Auburn, NY 13021-4040

17 E Genesee St
Suite 1
Auburn, NY 13021-4068

315 Madison Ave
RM 2000
New York, NY 10017-5416
Phone (646) 661-5225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
407171NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cayuga Counseling Services Inc CurrentSince Jul 29, 2025 Accepting new patients
Empire State Psychiatric Medicine PLLC Psychiatric/Mental Health CurrentSince Dec 1, 2025 Accepting new patients

Locations

17 E Genesee St
Auburn, NY 13021
Phone (315) 253-9795

17 E Genesee St
Fl 2
Auburn, NY 13021
Phone (315) 253-9795

17 E Genesee St
Ste 1
Auburn, NY 13021
Phone (315) 253-9795

315 Madison Ave
Rm 2000
New York, NY 10017
Phone (646) 661-5225

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1558971002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE RM 2000",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175416",
            "telephone_number": "646-661-5225",
            "fax_number": "929-671-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E GENESEE ST STE 1",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214068",
            "telephone_number": "315-253-9795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Madison Ave Rm 2000",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100175416",
            "country_code": "US",
            "telephone_number": "646-661-5225",
            "fax_number": "929-671-3068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "ASHLEY",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-08",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.