Active NPI
Jessica Maree Berg, MA, LMHC, NCC
- Mental Health Counselor
- Redmond, WA
National Provider Identifier
1821155771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH 60083174
- Practice address
- 15600 Redmond Way
Suite 101
Redmond, WA 98052-3862 - Phone
- (425) 233-5992
- NPI assigned
- Jan 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH 60083174 | WA | Primary |
Addresses
Primary practice location
15600 Redmond Way
Suite 101
Redmond, WA 98052-3862
Mailing address
15600 Redmond Way
Suite 101
Redmond, WA 98052-3862
Phone (425) 233-5992
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH 60083174 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276732800000",
"number": "1821155771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15600 REDMOND WAY",
"address_2": "SUITE 101",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523862",
"telephone_number": "425-233-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15600 REDMOND WAY",
"address_2": "SUITE 101",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523862",
"telephone_number": "425-233-5992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "JESSICA",
"middle_name": "MAREE",
"name_prefix": "Mrs.",
"credential": "MA, LMHC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2010-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH 60083174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.