Active NPI
Neil R Berry, AADC
- Addiction (Substance Use Disorder) Counselor
- Rogers, AR
National Provider Identifier
1720749161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- A-307
- Practice address
- 1812 S Craig Cir
Rogers, AR 72758-5608 - Phone
- (479) 640-7671
- NPI assigned
- Jan 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A-307 | AR | Primary |
Addresses
Primary practice location
1812 S Craig Cir
Rogers, AR 72758-5608
Mailing address
1812 S Craig Cir
Rogers, AR 72758
Phone (479) 640-7671
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
| License | State | Type | Specialty |
|---|---|---|---|
| A-307 | AR | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1720749161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 S CRAIG CIR",
"city": "ROGERS",
"state": "AR",
"postal_code": "72758",
"telephone_number": "479-640-7671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 S CRAIG CIR",
"city": "ROGERS",
"state": "AR",
"postal_code": "727585608",
"telephone_number": "479-640-7671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "NEIL",
"middle_name": "R",
"credential": "AADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-07",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AR",
"license": "A-307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.