Individual provider Active NPI

Avery Lucas Berry, M.ED., NCC, ALC

  • Mental Health Counselor
  • Montgomery, AL
National Provider Identifier
1659859676
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C3213A Issued in AL
Practice address
2911 Zelda Rd
Montgomery, AL 36106-2648
Phone
(334) 262-7787
NPI assigned
Aug 1, 2018
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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 C3213A AL Primary

Addresses

Primary practice location

2911 Zelda Rd
Montgomery, AL 36106-2648

Mailing address

2911 Zelda Rd
Montgomery, AL 36106-2648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250502000350 AL Practitioner - Mental Health Counselor 8325564354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Samaritan Counseling Center, Inc.Group PAC ID 7113922063, 4 clinicians

Practice addresses (Care Compare)

2911 Zelda Rd
Montgomery, AL 36106-2648
Phone (334) 262-7787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
C3213AALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Samaritan Counseling Center, Inc. CurrentSince Apr 8, 2025 Accepting new patients

Locations

2911 Zelda Rd
Montgomery, AL 36106
Phone (334) 262-7787

Organizations & group practices 1

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1659859676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 ZELDA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 ZELDA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062648",
            "telephone_number": "334-262-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "AVERY",
        "middle_name": "LUCAS",
        "name_prefix": "Mr.",
        "credential": "M.ED., NCC, ALC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C3213A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.