Active NPI
Jean E Berry, LPC ICAADC
- Mental Health Counselor
- Warren, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC018003
- Practice address
- 231 Front St
Warren, PA 16365-4013 - Phone
- (814) 688-7891
- NPI assigned
- Feb 11, 2025
- Last updated
- Jun 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC018003 | PA | Primary |
Addresses
Primary practice location
231 Front St
Warren, PA 16365-4013
Mailing address
231 Front St
Warren, PA 16365-4013
Phone (814) 688-7891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1885 Market St
Warren, PA 16365-1277
Phone (814) 723-1832
2109 Red Lion Rd
Philadelphia, PA 19115-1711
Phone (718) 298-4375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC018003 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deerfield Behavioral Health of Warren, LLC | Current | Accepting new patients | |
| Supportive Care of Pennsylvania LLC | Current | Accepting new patients | |
| Children's Center for Treatment and Education | Current | Accepting new patients | |
| Childrens Center for Treatment and Education | Current | Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
23 Kennedy St
Bradford, PA 16701
Phone (814) 723-1832
47 Beacon Light Way
Bradford, PA 16701
2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000
1885 Market St
Warren, PA 16365
Phone (814) 723-1832
Organizations & group practices 4
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.
-
dba Beacon Light Behavioral Health System
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Warren, PA
- NPI 1366609646
-
- Psychiatry Physician
- Warren, PA
- NPI 1134158314
-
dba Beacon Light Behavioral Health Systems
- Clinical Psychologist
- Bradford, PA
- NPI 1477626992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1659186153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 FRONT ST",
"city": "WARREN",
"state": "PA",
"postal_code": "163654013",
"telephone_number": "814-688-7891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 FRONT ST",
"city": "WARREN",
"state": "PA",
"postal_code": "163654013",
"telephone_number": "814-688-7891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "JEAN",
"middle_name": "E",
"name_prefix": "Miss",
"credential": "LPC ICAADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-11",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC018003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.