Active NPI
Naomi Berg, MA, QMHP
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1669043170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 5441 SE Belmont St
Portland, OR 97215-1837 - Phone
- (971) 368-2707
- NPI assigned
- Jul 6, 2021
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
5441 SE Belmont St
Portland, OR 97215-1837
Mailing address
PO Box 82339
Portland, OR 97282-0339
Phone (971) 368-2707
Other practice location 1
1001 Molalla Ave Ste 200
Oregon City, OR 97045-3768
Phone (503) 313-7920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240605002931 | OR | Practitioner - Mental Health Counselor | 3779025762 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clackamas Women'S Services | Current | Accepting new patients |
Locations
256 Warner Milne Rd
Oregon City, OR 97045
Phone (503) 654-2807
1001 Molalla Ave
Ste 200
Oregon City, OR 97045
Phone (503) 313-7920
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1669043170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82339",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972820339",
"telephone_number": "971-368-2707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 SE BELMONT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151837",
"telephone_number": "971-368-2707"
}
],
"practiceLocations": [
{
"address_1": "1001 Molalla Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Oregon City",
"state": "OR",
"postal_code": "970453768",
"country_code": "US",
"telephone_number": "503-313-7920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERG",
"first_name": "NAOMI",
"credential": "MA, QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-06",
"last_updated": "2024-04-24",
"certification_date": "2024-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.