Active NPI
Carolyn Mayer Berg, LMFT
- Marriage & Family Therapist
- Taylors, SC
National Provider Identifier
1891334322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 7917
- Practice address
- 4328 Wade Hampton Blvd Ste C
Taylors, SC 29687-2244 - Phone
- (864) 660-9607
- NPI assigned
- Jan 1, 2020
- Last updated
- Jul 17, 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 7917 | SC | Primary |
Addresses
Primary practice location
4328 Wade Hampton Blvd Ste C
Taylors, SC 29687-2244
Mailing address
115 Golf View LN
Greenville, SC 29609-6912
Phone (864) 477-0379
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000 | Other | SC | NO SUCH INFORMATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7917 | SC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1891334322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 GOLF VIEW LN",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296096912",
"telephone_number": "864-477-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4328 WADE HAMPTON BLVD STE C",
"city": "TAYLORS",
"state": "SC",
"postal_code": "296872244",
"telephone_number": "864-660-9607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "CAROLYN",
"middle_name": "MAYER",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-01",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "7917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NO SUCH INFORMATION",
"identifier": "0000",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taylors, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.