Individual provider Active NPI

Debra Jean Berth, MA

  • Mental Health Counselor
  • Glenview, IL
National Provider Identifier
1912608399
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
150.108727 Issued in IL
Practice address
1247 Waukegan Rd Ste 103
Glenview, IL 60025-3057
Phone
(773) 242-9716
NPI assigned
Mar 13, 2023
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 150.108727 IL Primary

Addresses

Primary practice location

1247 Waukegan Rd Ste 103
Glenview, IL 60025-3057

Mailing address

5240 N Sheridan Rd Apt 920
Chicago, IL 60640-2599
Phone (773) 490-6536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20251008001586 IL Practitioner - Mental Health Counselor 5395242192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anchor Health Counseling LLCGroup PAC ID 8729500327, 9 clinicians

Practice addresses (Care Compare)

89 Evergreen CT
Deerfield, IL 60015-5066
Phone (773) 307-4501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
150.108727ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Health Counseling LLC CurrentSince Aug 22, 2025 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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1912608399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 N SHERIDAN RD APT 920",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402599",
            "telephone_number": "773-490-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 WAUKEGAN RD STE 103",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253057",
            "telephone_number": "773-242-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTH",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "150.108727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.