David Bryon Berg, MA, LMFT, LADC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2649 Issued in MN

Practice address

2499 Rice St
Suite 201
Roseville, MN 55113-3724

Phone

(218) 252-9713

NPI assigned

Jan 15, 2016

Last updated

Oct 21, 2016By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Troy Borchardt

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1740736750
  NPD (past)
• Twin Cities Therapy and Counseling Associates, PLLC

  • Counselor
  • Golden Valley, MN
  • NPI 1518228378

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1992162382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 RICE ST",
            "address_2": "SUITE 201",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133724",
            "telephone_number": "218-252-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 RICE ST",
            "address_2": "SUITE 201",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133724",
            "telephone_number": "218-252-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "DAVID",
        "middle_name": "BRYON",
        "credential": "MA, LMFT, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303189",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Mark Bennett
• Nicholas Andrew Bennett
• Wilson Bennett, DPT
• Roberta Anne Benson, CMT, LMT, B.A.
• Michelle Bentz
• Mark W Berger, MD
• Elaine Grace Berghuis, BCBA, LBA
• Michael Bernstein, LAMFT
• Alissa Berthiaume
• Forrest Blanton Bessinger Jr., M.D.

• Marriage & Family Therapist in Roseville, MN
• Providers in Roseville, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.