Individual provider Active NPI

Jean E Berry, LPC ICAADC

  • Mental Health Counselor
  • Warren, PA
National Provider Identifier
1659186153
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC018003 Issued in PA
Practice address
231 Front St
Warren, PA 16365-4013
Phone
(814) 688-7891
NPI assigned
Feb 11, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408002819 PA Practitioner - Mental Health Counselor 9234653536 Reassigns benefits to 3 organizations

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
Supportive Care of Pennsylvania LLCGroup PAC ID 0143521211, 91 clinicians

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

LicenseStateTypeSpecialty
PC018003PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deerfield Behavioral Health of Warren, LLC CurrentSince Apr 1, 2025 Accepting new patients
Supportive Care of Pennsylvania LLC CurrentSince Jun 1, 2025 Accepting new patients
Children's Center for Treatment and Education Current Accepting new patients
Childrens Center for Treatment and Education CurrentSince Apr 1, 2025 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.

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

Verify at the official NPI Registry.