Devon Berry, AAS.HUS
Individual provider Active NPI Mental Health Counselor · Shamong, NJ
NPI 1851715064 · NPPES record last updated Feb 7, 2014
Key facts
- NPI
- 1851715064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1390 Old Indian Mills Road
Shamong Road Group Home
Shamong, NJ 08088 - Phone
- (609) 267-5928
- NPI assigned
- Feb 7, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1390 Old Indian Mills Road
Shamong Road Group Home
Shamong, NJ 08088
Mailing address
770 Woodlane Rd
Westampton, NJ 08060-3804
Phone (609) 267-5928
Other providers in Shamong, NJ
- Angela Renee Armendariz
- Aspire Clinical Training Center, LLC
- Beacon Specialized Living New Jersey, Inc.
- Tricia L Best
- Claire Nicole Caramanna
- David Mark Carey
- Danielle Brenza, DO LLC
- Brooke Amy Elliott
All providers in Shamong, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.