Active NPI
Sara Berrey, M.ED.
- Professional Counselor
- Canton, OH
National Provider Identifier
1568844116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C 0600150
- Practice address
- 4641 Fulton Dr NW
Canton, OH 44718-2384 - Phone
- (330) 433-6075
- Fax
- (330) 433-1845
- NPI assigned
- Jun 19, 2015
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C 0600150 | OH | Primary |
Addresses
Primary practice location
4641 Fulton Dr NW
Canton, OH 44718-2384
Mailing address
4641 Fulton Dr NW
Canton, OH 44718-2384
Phone (330) 433-6075
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C 0600150 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1568844116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4641 FULTON DR NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182384",
"telephone_number": "330-433-6075",
"fax_number": "330-433-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4641 FULTON DR NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182384",
"telephone_number": "330-433-6075",
"fax_number": "330-433-1845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERREY",
"first_name": "SARA",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-19",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C 0600150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.