Active NPI
Heather Lynn Berger, LPC
- Professional Counselor
- Mesa, AZ
National Provider Identifier
1801252200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC15808
- Practice address
- 1855 W Baseline Rd
Suite 101
Mesa, AZ 85202-9000 - Phone
- (480) 831-7563
- Fax
- (480) 962-7671
- NPI assigned
- Jan 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC15808 | AZ | Primary |
Addresses
Primary practice location
1855 W Baseline Rd
Suite 101
Mesa, AZ 85202-9000
Mailing address
1012 S Stapley Dr
BLD 5 Suite 117
Mesa, AZ 85204-4270
Phone (480) 768-6022
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC15808 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Bridges, Inc. | Past | Accepting new patients | |
| Dakota Valley Healing, LLC | Professional | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1508124488
-
- Professional Counselor
- Gilbert, AZ
- NPI 1760158554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1801252200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 S STAPLEY DR",
"address_2": "BLD 5 SUITE 117",
"city": "MESA",
"state": "AZ",
"postal_code": "852044270",
"telephone_number": "480-768-6022",
"fax_number": "480-831-0078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 W BASELINE RD",
"address_2": "SUITE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852029000",
"telephone_number": "480-831-7563",
"fax_number": "480-962-7671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "HEATHER",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-14",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC15808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.