NPIMap

Organization Active NPI

Berks Counseling Associates P.C.

  • Clinical Psychologist
  • Wyomissing, PA
National Provider Identifier
1700944303
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BERKS COUNSELING ASSOCIATES P.C.
Practice address
1150 Berkshire Blvd
Suite 250
Wyomissing, PA 19610-1208
Phone
(610) 373-7005
Fax
(610) 373-8005
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alison L. Hill, PH.D.NPI 1790845485
Title
President
Phone
(610) 373-7005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1150 Berkshire Blvd
Suite 250
Wyomissing, PA 19610-1208

Mailing address

1150 Berkshire Blvd
Suite 250
Wyomissing, PA 19610-1208
Phone (610) 373-7005

Other identifiers 3

IdentifierTypeStateIssuer
001503935-0001MedicaidPA
03064300OtherPABLUE CROSS
BE1682197OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041105000074 PA Part B Supplier - Clinic/Group Practice 5193788743 Receives reassigned benefits from 4 practitioners
Practice locations: Wyomissing, PA

National Provider Directory

National Provider Directory

Locations

1150 Berkshire Blvd
Ste 250
Wyomissing, PA 19610
Phone (610) 223-6630

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700944303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 BERKSHIRE BLVD",
            "address_2": "SUITE 250",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101208",
            "telephone_number": "610-373-7005",
            "fax_number": "610-373-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 BERKSHIRE BLVD",
            "address_2": "SUITE 250",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101208",
            "telephone_number": "610-373-7005",
            "fax_number": "610-373-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS COUNSELING ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-373-7005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001503935-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "03064300",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "BE1682197",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.