Jennifer S Berry, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704277653 Issued in MI

Practice address

22332 Garrison St
Dearborn, MI 48124-2228

Phone

(313) 546-8339

Fax

(949) 834-3844

NPI assigned

Oct 9, 2024

Last updated

Feb 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moonshot Psychiatric Nurse Practitioner PCGroup PAC ID 9335589696, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moonshot Psychiatric Nurse Practitioner PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
  • NPI 1669158879

  MI

  Medicare reassignment Care Compare group NPD
• Luna Mind Wellness LLC

  dba Jennifer Berry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dearborn, MI
  • NPI 1942182035
  NPD Authorized official
• Luna Psych

  dba Jennifer Berry

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln Park, MI
  • NPI 1538979844
  NPD Authorized official

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1720807431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 KINGSBURY AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281581",
            "telephone_number": "313-300-1938",
            "fax_number": "949-834-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22332 GARRISON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242228",
            "telephone_number": "313-546-8339",
            "fax_number": "949-834-3844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Mason St Ste B300-F",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242231",
            "country_code": "US",
            "telephone_number": "313-546-8339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704277653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Berry, FNP-C
• Brittany Nicole Berry
• Cedra Berry
• Dounya Berry, PHARMD
• Hadi Berry, D.O
• Lori Frances Berry, LMSW
• Nabil Berry, DDS
• Olivia Berry
• Ronia Berry, PNP-PC
• Steven Berry, MSN, FNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.