Active NPI
Christina M. Berry, LPCC
- Counselor
- Salem, OH
National Provider Identifier
1609813633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E0500699
- Practice address
- 166 1/2 Vine St
Salem, OH 44460-2939 - Phone
- (330) 332-1514
- Fax
- (330) 332-4938
- NPI assigned
- May 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C 0500699 | OH | |
| Counselor | 101Y00000X | E0500699 | OH | Primary |
Addresses
Primary practice location
166 1/2 Vine St
Salem, OH 44460-2939
Mailing address
40722 State Route 154
Lisbon, OH 44432-8500
Phone (330) 424-9573
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Lima, OH
- NPI 1760861249
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Roots to Healing Counseling and Wellness LLC
Practice addresses (Care Compare)
11369 Market St
Suite B
North Lima, OH 44452-9782
Phone (330) 227-4123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250204001186 | OH | Practitioner - Mental Health Counselor | 1456891654 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C 0500699 | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roots to Healing Counseling & Wellness LLC | Current | Accepting new patients | |
| Serenity Center of Youngstown, LLC | Past | Accepting new patients |
Locations
11369 Market St
Ste B
North Lima, OH 44452
Phone (330) 227-4123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1609813633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40722 STATE ROUTE 154",
"city": "LISBON",
"state": "OH",
"postal_code": "444328500",
"telephone_number": "330-424-9573",
"fax_number": "330-424-7140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 1/2 VINE ST",
"city": "SALEM",
"state": "OH",
"postal_code": "444602939",
"telephone_number": "330-332-1514",
"fax_number": "330-332-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "CHRISTINA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C 0500699",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E0500699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.