Audrey Berdeski, DC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401011113 Issued in MI

Practice address

41400 Dequindre Rd
#107
Sterling Heights, MI 48314-3763

Phone

(586) 466-5911

NPI assigned

Aug 1, 2006

Last updated

Mar 31, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Audrey Berdeski Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Butzin Chiropractic Clinic LLC

  • Chiropractor
  • Sterling Heights, MI
  • NPI 1174285811
  NPD (past)
• Julie N Sherbin Sher DO PLLC

  • Psychiatry Physician
  • Sterling Heights, MI
  • NPI 1861677221
  NPD (past)
• Matoshko Chiropractic Clinic LLC

  • Chiropractor
  • Sterling Heights, MI
  • NPI 1114689841
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1902812720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41400 DEQUINDRE RD",
            "address_2": "#107",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143763",
            "telephone_number": "586-466-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41400 DEQUINDRE RD",
            "address_2": "#107",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143763",
            "telephone_number": "586-466-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDESKI",
        "first_name": "AUDREY",
        "credential": "DC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005380",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3147964",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "BERDESKI",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Liam Benner
• Patrick Stephen Bennett, AGACNP-BC
• William Michael Bennett, DPM
• Kim Frederick Benson, DC
• Mariah Benson
• Amanda Beres
• Delaynie Berger
• Mark N Berkowitz, M.D.
• Calli Smenner Berman
• Richard Bernyk, D.O.

• Professional Counselor in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.