Jasmine Amanda Berger, LPC
Individual provider Active NPI Professional Counselor · Emmaus, PA
NPI 1992385116 · NPPES record last updated Feb 9, 2022
Key facts
- NPI
- 1992385116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC013185 (PA)
- Practice address
- 3835 Chestnut St
Emmaus, PA 18049-1830 - Phone
- (484) 232-5288
- NPI assigned
- Apr 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Easton, PA 18042
Phone (484) 403-0374
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240503003384 | PA | Practitioner - Mental Health Counselor | 2668812801 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC013185 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Listening Space LLC | Current |
Accepting new patients | |
| Valley Geropsych, LLC | Current |
Accepting new patients |
Locations
3835 Chestnut St
Emmaus, PA 18049
Phone (484) 232-5288
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC013185 | PA | Yes |
Addresses
Primary practice location
3835 Chestnut St
Emmaus, PA 18049-1830
Mailing address
132 S 15TH St
Easton, PA 18042-4041
Phone (610) 442-7753
Other practice location 1
132 S 15th St
Easton, PA 18042-4041
Phone (610) 442-7753
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC013185 | Other | PA | LPC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.ethosclinic.com | ||
| Direct Messaging Address | jasmine@ethos.healthcare | Direct | |
| CONNECT URL | thelisteningspacellc@gmail.com | Direct |
Other providers in Emmaus, PA
- Elizabeth A Barnes
- Kathryn Ann Barnes
- Robert B Barnes
- Maureen Ann Beilman
- Jenna Bell
- Brittany Bill
- Robert Blessing
- Taylor M. Boileau
- Mary Kate Breger
- Brndjar Medical Associates,P.C.
All providers in Emmaus, PA · Professional 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 Feb 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.