Active NPI
Camille Berg, LPC
- Professional Counselor
- The Woodlands, TX
National Provider Identifier
1851004212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 83459
- Practice address
- 2 E Gaslight PL
The Woodlands, TX 77382-1401 - Phone
- (832) 240-1997
- NPI assigned
- Jan 2, 2023
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 83459 | TX | Primary |
Addresses
Primary practice location
2 E Gaslight PL
The Woodlands, TX 77382-1401
Mailing address
2 E Gaslight PL
The Woodlands, TX 77382-1401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 5, 2025 through May 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83459 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1851004212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 E GASLIGHT PL",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773821401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 E GASLIGHT PL",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773821401",
"telephone_number": "832-240-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "CAMILLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-02",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "83459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.