Active NPI
Christina Sledge Berry, MS, LMHC
- Mental Health Counselor
- Crestview, FL
National Provider Identifier
1770949679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH16397
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH16397 | FL | MD | Mental Health Counselor |
| IMH14347 | FL | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Hope | Current | Accepting new patients | |
| Crosspoint United Methodist Church Inc | Mental Health | Past | 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.
-
- Clinical Social Worker
- Crestview, FL
- NPI 1275126781
-
- Mental Health Counselor
- Niceville, FL
- NPI 1265156459
Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.