Larry Stewart Berger, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC003529 Issued in PA

Practice address

101 Pembroke CT
Greensburg, PA 15601-6404

Phone

(724) 396-1510

NPI assigned

Nov 27, 2006

Last updated

Sep 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, VA2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vision Behavioral Health ServicesGroup PAC ID 5395988133, 6 clinicians

Rockbridge Area Free ClinicGroup PAC ID 2860626231, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Rockbridge Area Free Clinic

  dba Rockbridge Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Lexington, VA
  • NPI 1205267002
  Medicare reassignment Care Compare group NPD
• Vision Behavioral Health Services

  • Community/Behavioral Health Agency
  • Louisburg, NC
  • NPI 1588974158
  Medicare reassignment Care Compare group NPD
• Rockbridge Area Free Clinic

  dba Maury River Middle School Health Center

  • Federally Qualified Health Center (FQHC)
  • Lexington, VA
  • NPI 1780465468
  NPD
• Portsmouth Community Health Center Inc

  dba Little Creek Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Norfolk, VA
  • NPI 1144604877
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1669548160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PEMBROKE CT",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016404",
            "telephone_number": "724-396-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PEMBROKE CT",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016404",
            "telephone_number": "724-396-1510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 N Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Louisburg",
            "state": "NC",
            "postal_code": "275492516",
            "country_code": "US",
            "telephone_number": "919-496-7781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "LARRY",
        "middle_name": "STEWART",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003529",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "18881",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED CARE VENDOR NUMBE",
            "identifier": "001882137",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Savannah Marie Berklovich, PTA
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• Kristin Bertuzzi
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• Ann Marie Bethke, PA-C

• Professional Counselor in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.
• 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.

Verify at the official NPI Registry.