Individual provider Active NPI

Rachel Anne Berry, MA, LPCA

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1720487663
Registry record updated Aug 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A10964 Issued in NC
Practice address
607 Maplewood Ave
Apt. B
Durham, NC 27701-2838
Phone
(919) 522-3522
NPI assigned
Aug 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A10964 NC Primary

Addresses

Primary practice location

607 Maplewood Ave
Apt. B
Durham, NC 27701-2838

Mailing address

607 Maplewood Ave
Apt. B
Durham, NC 27701-2838
Phone (919) 522-3522

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A10964NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1408147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408147200000",
    "number": "1720487663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 MAPLEWOOD AVE",
            "address_2": "APT. B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012838",
            "telephone_number": "919-522-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 MAPLEWOOD AVE",
            "address_2": "APT. B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012838",
            "telephone_number": "919-522-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "MA, LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-16",
        "last_updated": "2014-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A10964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2014; 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.