Individual provider Active NPI

Gary Lee Berger Jr., CDCAQ

  • Addiction (Substance Use Disorder) Counselor
  • Toledo, OH
National Provider Identifier
1750991964
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.175390 Issued in OH
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

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CDCA.175390OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Growth Counseling Services LLC CurrentSince Oct 21, 2025 Accepting new patients
Personal Growth Counseling Services LLC CurrentSince Oct 21, 2025 Accepting new patients
Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc PastSince Aug 1, 2020 Accepting new patients
Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc PastSince Aug 1, 2020 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.

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.

Verify at the official NPI Registry.