Active NPI
Gary Lee Berger Jr., CDCAQ
- Addiction (Substance Use Disorder) Counselor
- Toledo, OH
National Provider Identifier
1750991964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.175390
- Practice address
- 5577 Airport Hwy Ste 200
Toledo, OH 43615-7364 - Phone
- (419) 720-0442
- NPI assigned
- Aug 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.175390 | OH | Primary |
Addresses
Primary practice location
5577 Airport Hwy Ste 200
Toledo, OH 43615-7364
Mailing address
5577 Airport Hwy Ste 200
Toledo, OH 43615-7364
Phone (419) 720-0442
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 |
|---|---|---|---|
| CDCA.175390 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Growth Counseling Services LLC | Current | Accepting new patients | |
| Personal Growth Counseling Services LLC | Current | Accepting new patients | |
| Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc | Past | Accepting new patients | |
| Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc | Past | Accepting new patients |
Locations
5577 Airport Hwy
Ste 200
Toledo, OH 43615
Phone (419) 720-0442
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Toledo, OH
- NPI 1023776028
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Toledo, OH
- NPI 1801601984
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lima, OH
- NPI 1336780196
-
- Community Health Clinic/Center
- Lima, OH
- NPI 1629144050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1750991964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5577 AIRPORT HWY STE 200",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436157364",
"telephone_number": "419-720-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5577 AIRPORT HWY STE 200",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436157364",
"telephone_number": "419-720-0442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "GARY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CDCAQ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-03",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.175390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.