Organization Active NPI

Berman Counseling and Consulting, LLC

  • Clinical Social Worker
  • Lorain, OH
National Provider Identifier
1801476528
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BERMAN COUNSELING AND CONSULTING, LLC
Practice address
6145 Park Square Dr Ste D
Lorain, OH 44053-4146
Phone
(216) 282-7893
NPI assigned
Apr 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Amy Wagner
Title
Billing and Enrollments
Phone
(215) 964-0335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6145 Park Square Dr Ste D
Lorain, OH 44053-4146

Mailing address

6008 Eastview Ave
North Ridgeville, OH 44039-1546
Phone (216) 282-7893

Other identifiers 1

IdentifierTypeStateIssuer
0211163MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210503000400 OH Part B Supplier - Clinic/Group Practice 9931518073 Receives reassigned benefits from 1 practitioner
Practice locations: Lorain, OH

National Provider Directory

National Provider Directory

Locations

6145 Park Square Dr
Ste D
Lorain, OH 44053
Phone (216) 282-7893

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1801476528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 EASTVIEW AVE",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391546",
            "telephone_number": "216-282-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 PARK SQUARE DR STE D",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440534146",
            "telephone_number": "216-282-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERMAN COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "BILLING AND ENROLLMENTS",
        "authorized_official_telephone_number": "215-964-0335"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211163",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.