Kevin B Berry, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0084641 Issued in NM

Practice address

4202 W McGaffey St
Roswell, NM 88203-9384

Phone

(575) 623-6749

Fax

(575) 623-1322

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• The Peak at Santa Teresa, Inc.

  • Foster Care Agency
  • Roswell, NM
  • NPI 1740315514
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982777611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARK DR",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016573",
            "telephone_number": "575-317-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 W MCGAFFEY ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882039384",
            "telephone_number": "575-623-6749",
            "fax_number": "575-623-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "KEVIN",
        "middle_name": "B",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "0084641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben M Smith DMD PC
• Michael S Berg, CRNA
• Josue Berrospe
• Colin Berry, MD
• Kevin Berry
• Richard Berry, CRNA
• Jerrie J Besing
• Melissa Kay Bethany, DNP, PMHNP-BC
• Suchitha Bheemreddy, MD
• Francis Ian C Bicol, DNP, CRNA, APRN

• All providers in Roswell, NM
• Marriage & Family Therapist in New Mexico

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.