Devoria Keaton Berry

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P010377 Issued in NC

Practice address

817B S Madison St
Whiteville, NC 28472-4613

Phone

(910) 207-6761

NPI assigned

Oct 21, 2015

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Community Support Agency, LLC

  • Community/Behavioral Health Agency
  • Delco, NC
  • NPI 1447393020

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Stem Education for a Global Society

  dba SEGS Academy

  • Local Education Agency (LEA)
  • Delco, NC
  • NPI 1326454059
  NPD (past) Authorized official
• Cape Fear Arthritis Care, PLLC

  • Medical Specialty Clinic/Center
  • Leland, NC
  • NPI 1851718142

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942672761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 DREAM AVE",
            "city": "DELCO",
            "state": "NC",
            "postal_code": "284368700",
            "telephone_number": "910-655-0698",
            "fax_number": "910-655-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817B S MADISON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724613",
            "telephone_number": "910-207-6761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Dream Ave",
            "address_purpose": "LOCATION",
            "city": "Delco",
            "state": "NC",
            "postal_code": "284368700",
            "country_code": "US",
            "telephone_number": "910-655-0698",
            "fax_number": "910-655-0611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "DEVORIA",
        "middle_name": "KEATON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-21951",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P010377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Leighann Battley
• Harrison B Baucom, D.O.
• Behavioral Health of North Carolina, Inc.
• Breanna Marjorie Benbow, DDS
• Rene Bermudez, DO
• Richard Garth Berry, MD, FACP, FACGS
• Better Primary Care and Wellness
• Elizabeth Erin Bickell, PA-C
• Grant Bishop, DPT
• Courtney Briann Blackledge, LCMHCA

• Mental Health Counselor in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.