Active NPI
Joann Kim Bernat, LPC, NCC
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1922035583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4858
- Practice address
- 1100 Logger CT BLDG G
Suite 103
Raleigh, NC 27609-8525 - Phone
- (919) 333-6082
- Fax
- (919) 805-3988
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4858 | NC | Primary |
Addresses
Primary practice location
1100 Logger CT BLDG G
Suite 103
Raleigh, NC 27609-8525
Mailing address
1100 Logger Court, BLDG. G
Suite 103
Raleigh, NC 27609-8525
Phone (919) 333-6082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102695 | Medicaid | NC |
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 |
|---|---|---|---|
| 4858 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1922035583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 LOGGER COURT, BLDG. G",
"address_2": "SUITE 103",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276098525",
"telephone_number": "919-333-6082",
"fax_number": "919-805-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LOGGER CT BLDG G",
"address_2": "SUITE 103",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276098525",
"telephone_number": "919-333-6082",
"fax_number": "919-805-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAT",
"first_name": "JOANN",
"middle_name": "KIM",
"name_prefix": "Ms.",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "4858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102695",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.