Individual provider Active NPI

Naomi Berg, MA, QMHP

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1669043170
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Apr 24, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Clackamas Women'S Services CurrentSince May 8, 2024 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

Verify at the official NPI Registry.