Individual provider Active NPI

Aleece Jolene Berg, LCSW, LAC

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1720306848
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWP-LCSW-LIC-2419 Issued in MT
Practice address
1305 11TH Ave
Helena, MT 59601-3919
Phone
(406) 431-2908
NPI assigned
May 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC-LAC-LIC 1347 MT
Clinical Social Worker 1041C0700X SWP-LCSW-LIC-2419 MT Primary

Addresses

Primary practice location

1305 11TH Ave
Helena, MT 59601-3919

Mailing address

891 Star Rd
Helena, MT 59602-8137
Phone (406) 461-1693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAC-LAC-LIC 1347MTMDAddiction (Substance Use Disorder) Counselor
SWP-LCSW-LIC-2419MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
46 North Counseling LLC Clinical CurrentSince Nov 3, 2019 Accepting new patients

Locations

1305 11th Ave
Helena, MT 59601
Phone (406) 431-2908

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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1720306848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 STAR RD",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596028137",
            "telephone_number": "406-461-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 11TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013919",
            "telephone_number": "406-431-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "ALEECE",
        "middle_name": "JOLENE",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "LAC-LAC-LIC 1347",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "SWP-LCSW-LIC-2419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.