Individual provider Active NPI

Jasmine Rose Berger, LPC- 23610

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1629707104
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20785 Issued in AZ
Practice address
3050 W Agua Fria Fwy Ste 150
Phoenix, AZ 85027-3998
Phone
(602) 802-8388
NPI assigned
Jun 9, 2022
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 20785 AZ Primary
Professional Counselor 101YP2500X 23610 AZ

Addresses

Primary practice location

3050 W Agua Fria Fwy Ste 150
Phoenix, AZ 85027-3998

Mailing address

10958 W Sheridan St
Avondale, AZ 85392-5882
Phone (520) 358-8038

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jberger@catalytichealthpartners.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260317003169 AZ Practitioner - Mental Health Counselor 0042794158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Buckeye, AZ 85396
Phone (240) 201-3386

2550 W Union Hills Dr
Phoenix, AZ 85027-5163
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23610AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Feb 1, 2026 Accepting new patients

Locations

2550 W Union Hills Dr
Phoenix, AZ 85027
Phone (602) 640-0681

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1629707104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10958 W SHERIDAN ST",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925882",
            "telephone_number": "520-358-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 W AGUA FRIA FWY STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273998",
            "telephone_number": "602-802-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "JASMINE",
        "middle_name": "ROSE",
        "credential": "LPC- 23610",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "20785",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "23610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jberger@catalytichealthpartners.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3050 W Agua Fria Fwy Ste 150",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850273998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.