Individual provider Active NPI

Cindy Berg, LMHC

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1972079374
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00008856 Issued in WA
Practice address
16120 NE 8TH St
Bellevue, WA 98008-3937
Phone
(425) 747-4004
Fax
(425) 747-1069
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00008856 WA Primary

Addresses

Primary practice location

16120 NE 8TH St
Bellevue, WA 98008-3937

Mailing address

16120 NE 8TH St
Bellevue, WA 98008-3937
Phone (425) 747-4004

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251029004269 NC Practitioner - Mental Health Counselor 2668961624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10440 Park Rd
Suite 300
Charlotte, NC 28210-8504

10440 Park Rd
Suite 300
Charlotte, NC 28210-8544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH00008856WAMDMental Health Counselor
18357NCMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Family Behavioral Health Acquisition Group PLLC CurrentSince Sep 30, 2025 Accepting new patients
Kindering Center Past Accepting new patients

Locations

10440 Park Rd
Ste 300
Charlotte, NC 28210
Phone (980) 237-4766

10420 Park Rd
Ste 300
Charlotte, NC 28210
Phone (980) 237-4766

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1972079374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16120 NE 8TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083937",
            "telephone_number": "425-747-4004",
            "fax_number": "425-747-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16120 NE 8TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083937",
            "telephone_number": "425-747-4004",
            "fax_number": "425-747-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "CINDY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00008856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.