Irene Y. Bernard, DMIN, LADACII, CAADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LDC0000001224 Issued in TN

Practice address

9725 Woodland Hills Dr
Cordova, TN 38018-6661

Phone

(901) 378-0723

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spiritbuilders,Inc

  • Health & Wellness Coach
  • Memphis, TN
  • NPI 1720789795

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1649706557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 WOODLAND HILLS DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186661",
            "telephone_number": "901-378-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 WOODLAND HILLS DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186661",
            "telephone_number": "901-378-0723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 Union Ave # 705A",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381043513",
            "country_code": "US",
            "telephone_number": "901-878-2067",
            "fax_number": "731-200-0513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "IRENE",
        "middle_name": "Y.",
        "name_prefix": "Mrs.",
        "credential": "DMIN, LADACII, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TN",
            "license": "LDC1224",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "LDC1224",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "LDC0000001224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q057884",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marwyn Garibay Benemerito, OTR/L
• Amanda Benner, RBT-21-168675
• Stacey Bennett, DPH
• Kalaysha Benson
• Wendy R Benton
• Berryhill Dental Center
• Bichelman Behavioral Services, PLLC
• Nicole Marie Bichelman, MA, BCBA
• Alison Bigelow, PHD
• Corissa Bigham, RN

• Counselor in Cordova, TN
• Providers in Cordova, TN by specialty
• Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.