NPIMap

Organization Active NPI

Cora S. Berry PC

  • Mental Health Counselor
  • McCook, NE
National Provider Identifier
1740655265
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
393 Issued in NE
Legal business name
CORA S. BERRY PC
Practice address
812 W 13TH St
MC Cook, NE 69001-2927
Phone
(308) 345-1429
Fax
(308) 345-6513
NPI assigned
Dec 9, 2015
Last updated
Dec 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Mrs. Cora Simmerman Berry, LMHP LCPC, LPC, LADCNPI 1073520508
Title
President
Phone
(308) 345-1429

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 011 NE
Mental Health Counselor 101YM0800X 393 NE Primary
Professional Counselor 101YP2500X 284 NE
Professional Counselor 101YP2500X 103 NE

Addresses

Primary practice location

812 W 13TH St
MC Cook, NE 69001-2927

Mailing address

812 W 13TH St
MC Cook, NE 69001-2927
Phone (308) 345-1429

Other identifiers 1

IdentifierTypeStateIssuer
100249773-00MedicaidNE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1740655265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 W 13TH ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690012927",
            "telephone_number": "308-345-1429",
            "fax_number": "308-345-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W 13TH ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690012927",
            "telephone_number": "308-345-1429",
            "fax_number": "308-345-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORA S. BERRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "CORA",
        "authorized_official_middle_name": "SIMMERMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-345-1429",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHP LCPC, LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "011",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "393",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "284",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "103",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249773-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McCook, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.