Individual provider Active NPI

Christina Sledge Berry, MS, LMHC

  • Mental Health Counselor
  • Crestview, FL
National Provider Identifier
1770949679
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16397 Issued in FL
Practice address
6268 Old Bethel Rd
Crestview, FL 32536-5505
Phone
(850) 353-2677
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MH16397 FL
Contractor 171W00000X IMH14347 FL
Mental Health Counselor 101YM0800X MH16397 FL Primary

Addresses

Primary practice location

6268 Old Bethel Rd
Crestview, FL 32536-5505

Mailing address

6268 Old Bethel Rd
Crestview, FL 32536-5505
Phone (850) 353-2677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6268 Old Bethel Rd
Crestview, FL 32536-5505
Phone (850) 353-2677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MH16397FLMDMental Health Counselor
IMH14347FLMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Hope CurrentSince Aug 28, 2022 Accepting new patients
Crosspoint United Methodist Church Inc Mental Health PastSince Aug 28, 2022 Accepting new patients

Locations

6268 Old Bethel Rd
Crestview, FL 32536
Phone (850) 279-4576

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1770949679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6268 OLD BETHEL RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365505",
            "telephone_number": "850-353-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6268 OLD BETHEL RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365505",
            "telephone_number": "850-353-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "CHRISTINA",
        "middle_name": "SLEDGE",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH16397",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "IMH14347",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.