Individual provider Active NPI

Sharli Berry, LPC

  • Professional Counselor
  • Tempe, AZ
National Provider Identifier
1871022111
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-16312 Issued in AZ
Practice address
1631 E Guadalupe Rd Ste 200
Tempe, AZ 85283-3916
Phone
(480) 788-0877
NPI assigned
Jun 9, 2017
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-16312 AZ Primary

Addresses

Primary practice location

1631 E Guadalupe Rd Ste 200
Tempe, AZ 85283-3916

Mailing address

PO Box 8061
Phoenix, AZ 85066-8061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241025003344 AZ Practitioner - Mental Health Counselor 8527591718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Destiny's Door Counseling Services CurrentSince Feb 26, 2024 Accepting new patients
Capstone Mental Health Inc PastSince Feb 26, 2024 Accepting new patients
New Destiny Healing Arts Center PastSince Sep 17, 2023 Accepting new patients

Locations

2627 N 3rd St
Ste 2036
Phoenix, AZ 85004

1631 E Guadalupe Rd
Ste 102
Tempe, AZ 85283
Phone (480) 409-5641

1631 E Guadalupe Rd
Ste 200
Tempe, AZ 85283
Phone (480) 788-0877

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1871022111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8061",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850668061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 E GUADALUPE RD STE 200",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833916",
            "telephone_number": "480-788-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "SHARLI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-16312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.