Alexandra Nicole Berg, MS MFT-IT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1065-228 Issued in WI

Practice address

2000 Engel St Ste 201
Monona, WI 53713-4822

Phone

(608) 455-6070

NPI assigned

Sep 18, 2023

Last updated

Sep 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Marriage and Family Therapist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Forward Counseling and Consultation LLC

  • Mental Health Counselor
  • Monona, WI
  • NPI 1487192928
  Medicare reassignment NPD

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1679351035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2898 PLEASANT VIEW RD UNIT 101",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535624863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ENGEL ST STE 201",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537134822",
            "telephone_number": "608-455-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "ALEXANDRA",
        "middle_name": "NICOLE",
        "credential": "MS MFT-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1065-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Barrett, MSW, LCSW
• Ashley Barry, LPC-IT
• Amy L Bauman, DO
• Nicole Beam, OTR/L
• Bemis Psychotherapy and Consulting, LLC
• Sarah Bergstrom, NP
• Michael Bertrand, SAC, MDIV.
• Leslie David Best, D.C.
• Big Heart Counseling Center (The Madison Marriage and Couples Center)
• Birch Springs Counseling East

• Marriage & Family Therapist in Monona, WI
• Providers in Monona, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.