Stephanie R Berg, LPC-IT, SAC-IT, SW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1843-226 Issued in WI

Practice address

20 E Court St
Janesville, WI 53545-3919

Phone

(608) 741-2117

Fax

(608) 758-5761

NPI assigned

Sep 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Health System Corporation

  • General Acute Care Hospital
  • Janesville, WI
  • NPI 1093768962
  NPD (past)

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1962870360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E COURT ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535453919",
            "telephone_number": "608-741-2117",
            "fax_number": "608-758-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E COURT ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535453919",
            "telephone_number": "608-741-2117",
            "fax_number": "608-758-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "credential": "LPC-IT, SAC-IT, SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16957-130",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1843-226",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "10714-120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Benash, LCSW, MSW
• Jennah E Benson, PC-IT
• Samantha Benson
• Melissa A Bent, MD
• Thomas R Berentsen, MD
• Jean Duve Berghammer, LCSW
• Leslie E Bernstein, MD
• Donald Stuart Berry, D.O., D.C.
• Terese Bertagnoli, PTA
• Jennifer K Bestland, RN, APNP

• Professional Counselor in Janesville, WI
• Providers in Janesville, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.