Individual provider Active NPI

Ronald Joseph Berube Jr., MS

  • Mental Health Counselor
  • Council Bluffs, IA
National Provider Identifier
1730354895
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
977 Issued in IA
Practice address
300 W Broadway Ste 106
Council Bluffs, IA 51503-9029
Phone
(712) 328-3700
Fax
(712) 328-3721
NPI assigned
Apr 29, 2008
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3117 NE
Mental Health Counselor 101YM0800X 977 IA Primary

Addresses

Primary practice location

300 W Broadway Ste 106
Council Bluffs, IA 51503-9029

Mailing address

300 W Broadway Ste 106
Council Bluffs, IA 51503-9029
Phone (712) 328-3700

Other identifiers 2

IdentifierTypeStateIssuer
1013490MedicaidIA
0487348MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251112002307 IA Practitioner - Mental Health Counselor 9537505896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1221 Pierce St
Sioux City, IA 51105-1418

1221 Pierce St
Sioux City, IA 51105-1497

300 W Broadway
Suite 106
Council Bluffs, IA 51503-9029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
977IAMDMental Health Counselor
3117NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Access Center, Inc. Mental Health CurrentSince Jan 25, 2026 Accepting new patients
Choices Counseling and Consulting CurrentSince Oct 2, 2025 Accepting new patients

Locations

300 W Broadway
Ste 106
Council Bluffs, IA 51503
Phone (402) 689-3379

300 W Broadway
Ste 107
Council Bluffs, IA 51503
Phone (712) 323-5459

1221 Pierce St
Sioux City, IA 51105
Phone (712) 255-0204

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1730354895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY STE 106",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039029",
            "telephone_number": "712-328-3700",
            "fax_number": "712-328-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY STE 106",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039029",
            "telephone_number": "712-328-3700",
            "fax_number": "712-328-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERUBE",
        "first_name": "RONALD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3117",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013490",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0487348",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.