Individual provider Active NPI

Carol Berger, MA, LLPC

  • Professional Counselor
  • Owosso, MI
National Provider Identifier
1780139444
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401007644 Issued in MI
Practice address
120 W Exchange St Ste 201
Owosso, MI 48867-2834
Phone
(989) 445-0011
NPI assigned
Aug 23, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401007644 MI Primary
Clinical Social Worker 1041C0700X 020674084 MI

Addresses

Primary practice location

120 W Exchange St Ste 201
Owosso, MI 48867-2834

Mailing address

1623 E 6 Mile Creek Rd
Owosso, MI 48867-9089
Phone (989) 445-0011

Other practice location 1

585 Jewett Rd
Mason, MI 48854-8729
Phone (517) 676-5405 ext. 11119

Other identifiers 1

IdentifierTypeStateIssuer
1462371MedicaidMI

Other names 1

  • Carol Berger Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401007644MIMDProfessional Counselor
020674084MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Berger Professional Counseling Services LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780139444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 E 6 MILE CREEK RD",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679089",
            "telephone_number": "989-445-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W EXCHANGE ST STE 201",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672834",
            "telephone_number": "989-445-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 Jewett Rd",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "MI",
            "postal_code": "488548729",
            "country_code": "US",
            "telephone_number": "517-676-5405 x11119",
            "fax_number": "517-676-5460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "CAROL",
        "credential": "MA, LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007644",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "020674084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1462371",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "BERGER",
            "credential": "LLPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.