Georgia Anne Berry, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT81043 Issued in CA

Practice address

725 Farmers LN
Suite 15
Santa Rosa, CA 95405-6710

Phone

(707) 953-8790

Fax

(866) 605-1176

NPI assigned

Apr 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Marriage and Family Therapist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1619363207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 FARMERS LN",
            "address_2": "SUITE 15",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056710",
            "telephone_number": "707-953-8790",
            "fax_number": "866-605-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 FARMERS LN",
            "address_2": "SUITE 15",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056710",
            "telephone_number": "707-953-8790",
            "fax_number": "866-605-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "GEORGIA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT81043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Bernstein, MSW
• Rael Ilan Bernstein, DDS,MS
• Kendra Berry Whittenberg
• Renee A Berry-Travis
• Chelsea Leann Berry
• Lisa Dawn Berry, CAADEI
• Marisol Berta
• Mara Bertoli, NP-C
• Ashley L Bertrand
• Wendell Domingo Bertulfo-Wold, RN

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.

Verify at the official NPI Registry.