Staci Berman, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.001028 Issued in IL

Practice address

2318 N Milwaukee Ave Apt 204
Chicago, IL 60647-6915

Phone

(858) 449-7663

NPI assigned

Nov 16, 2015

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

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 and National Provider Directory roles.

• Staci Berman, LMFT, PC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1255964524
  NPD Authorized official

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1720452618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE STE 2415",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017481",
            "telephone_number": "858-449-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 N MILWAUKEE AVE APT 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476915",
            "telephone_number": "858-449-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "STACI",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Rebecca Berman, MD
• Marvin H. Berman, D.D.S.
• Meira Reuria Berman, DMD
• Raven Berman
• Rebecca Lee Berman, M.ED, RD, CNS, CHES
• Stephanie Berman, PT
• Valentin Berman, M.D.P.C.
• Dena Bermann, LMFT
• Adriana Carmenza Bermeo Ovalle, M.D.
• Dyan F Bermeo

• Marriage & Family Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.