Keisha Nicole Berry
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Hanover, PA
NPI 1962390435 · NPPES record last updated Jun 25, 2025
Key facts
- NPI
- 1962390435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 10130 (PA)
- Practice address
- 300 Frederick St Ste 3
Hanover, PA 17331-3709 - Phone
- (717) 969-2894
- NPI assigned
- Jun 25, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10130 | PA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10130 | PA | Yes |
Addresses
Primary practice location
300 Frederick St Ste 3
Hanover, PA 17331-3709
Mailing address
325 Brooklyn Ave
York, PA 17401-3806
Phone (717) 779-5898
Other providers in Hanover, PA
- Elizabeth Beman
- Emily Marie Ben
- George Edward Bennett Jr.
- Valerie Bennett
- Kelly Bergmann
- Christina Marie Bertok
- BH Medical PA PLLC
- Erin Frances Bielski
- Meagan Lynne Bilbrough
- Biomechanic Physical Therapy, PLLC
All providers in Hanover, PA · Addiction (Substance Use Disorder) Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.