Keith Berry Sr.
Individual provider Active NPI Mental Health Counselor · Berea, OH
NPI 1609545219 · NPPES record last updated Sep 8, 2021
Key facts
- NPI
- 1609545219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 398 W Bagley Rd Ste 216
Berea, OH 44017-1312 - Phone
- (216) 340-0011
- NPI assigned
- Sep 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ace Wellness Center | Mental Health | Current |
Accepting new patients |
Locations
398 W Bagley Rd
Ste 216
Berea, OH 44017
Phone (216) 340-0011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
398 W Bagley Rd Ste 216
Berea, OH 44017-1312
Mailing address
20200 Gladstone Rd
Beachwood, OH 44122-6646
Phone (216) 479-9525
Other providers in Berea, OH
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- Berea Lake Towers LLC
- Jeffrey S Berman
- Hiba Betka
- Amber M Biscella
- Rachelle Linn Bizon
- Michelle Blaha
- Dia Laquan Blake
All providers in Berea, OH · Mental Health Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.