Individual provider Active NPI

Christina M. Berry, LPCC

  • Counselor
  • Salem, OH
National Provider Identifier
1609813633
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E0500699 Issued in OH
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

Updated by the provider on May 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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.

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 2 clinicians

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250204001186 OH Practitioner - Mental Health Counselor 1456891654 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C 0500699OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Roots to Healing Counseling & Wellness LLC CurrentSince Sep 1, 2023 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

Verify at the official NPI Registry.