Individual provider Active NPI

Paul Michael Berkes, L.P.C., M.H.S.P.

  • Mental Health Counselor
  • Bartlett, TN
National Provider Identifier
1881959310
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2857 Issued in TN
Practice address
3572 Sunrise LN
Bartlett, TN 38133-2800
Phone
(901) 277-5797
NPI assigned
Jul 10, 2012
Last updated
Jul 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2857 TN Primary
Professional Counselor 101YP2500X 2857 TN

Addresses

Primary practice location

3572 Sunrise LN
Bartlett, TN 38133-2800

Mailing address

3572 Sunrise LN
Bartlett, TN 38133-2800
Phone (901) 277-5797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240318000498 TN Practitioner - Mental Health Counselor 5294172987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2932 Altruria Rd
Bartlett, TN 38134-3862
Phone (901) 277-5797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2857TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Hope and a Future, Inc. CurrentSince Jan 28, 2024 Accepting new patients

Organizations & group practices 1

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1881959310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3572 SUNRISE LN",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332800",
            "telephone_number": "901-277-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3572 SUNRISE LN",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332800",
            "telephone_number": "901-277-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKES",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "credential": "L.P.C., M.H.S.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2857",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2857",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.