Individual provider Active NPI

Anna Berin, LMHC, PSYD

  • Mental Health Counselor
  • Blackstone, MA
National Provider Identifier
1922127315
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8153 Issued in MA
Practice address
61 Main St Ste 12
Blackstone, MA 01504-2215
Phone
(774) 314-1215
NPI assigned
Mar 28, 2007
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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 542 RI
Mental Health Counselor 101YM0800X 8153 MA Primary

Addresses

Primary practice location

61 Main St Ste 12
Blackstone, MA 01504-2215

Mailing address

61 Main St Ste 12
Blackstone, MA 01504-2215
Phone (774) 314-1215

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

LicenseStateTypeSpecialty
542RIMDMental Health Counselor
8153MAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Berin Integrative Psychological Services Mental Health Current Accepting new patients

Locations

61 Main St
Ste 302
Blackstone, MA 01504
Phone (774) 314-1215

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1922127315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MAIN ST STE 12",
            "city": "BLACKSTONE",
            "state": "MA",
            "postal_code": "015042215",
            "telephone_number": "774-314-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST STE 12",
            "city": "BLACKSTONE",
            "state": "MA",
            "postal_code": "015042215",
            "telephone_number": "774-314-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERIN",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "LMHC, PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "542",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackstone, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.