Christie Lynn Berghoff, RCSWI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ISW19163 Issued in FL

Practice address

1301 Bedford Dr Ste 101
Melbourne, FL 32940-1989

Phone

(321) 462-9111

NPI assigned

Aug 18, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1689457954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 POTOMAC DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041803",
            "telephone_number": "802-559-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BEDFORD DR STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401989",
            "telephone_number": "321-462-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGHOFF",
        "first_name": "CHRISTIE",
        "middle_name": "LYNN",
        "credential": "RCSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "ISW19163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nykohl Benson
• Steven Garold Bentley, MD
• Arianna Berardi
• Anne H Beressi, M.D.
• Tricia A Beretz, LIC. AC.
• Joseph Berisha
• Danny P Berk, MD
• Lori Anne Berk, M.S., LMHC
• Nicole Berkemeier, PT
• Karen Suzanne Berkley, ARNP-C

• Mental Health Counselor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.