Sandra Elysa Berna, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068-0000508 Issued in VT

Practice address

1388 Blockhouse PT Rd
North Hero, VT 05474-9666

Phone

(802) 527-7494

NPI assigned

Jul 1, 2006

Sex

Female

Sole proprietor

Yes

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.

• Sandra Berna Lcmhc Emdr Integrative Services LLC

  • Mental Health Counselor
  • North Hero, VT
  • NPI 1124746698

  Mental Health, VT

  Medicare reassignment NPD Authorized official

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in VT

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2024.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1790714939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388 BLOCKHOUSE PT RD",
            "city": "NORTH HERO",
            "state": "VT",
            "postal_code": "054749666",
            "telephone_number": "802-527-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 BLOCKHOUSE PT RD",
            "city": "NORTH HERO",
            "state": "VT",
            "postal_code": "054749666",
            "telephone_number": "802-527-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNA",
        "first_name": "SANDRA",
        "middle_name": "ELYSA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2024-06-24",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "334",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009871",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Auv & Ocean
• Toria Dawn Cornett, ATC
• G. Kenneth Dehart Jr., MD
• Sandra Berna Lcmhc Emdr Integrative Services LLC
• Catherine Sells, PT

• All providers in North Hero, VT
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.

Verify at the official NPI Registry.