JACQUELINE LEIGH BERG (NPI# 1386935641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386935641 |
Entity Type | Individual |
Full Name | JACQUELINE LEIGH BERG |
Credential | M.S, M.A., LMFT |
Practice Address |
585 Union Ave, #7a Laconia NH 03246 |
Mailing Address |
585 Union Ave, #5 Laconia NH 03246 |
Practice Telephone | 6033871523 |
Practice Fax Number | 8156420356 |
Mailing Telephone | 6033871523 |
Mailing Fax Number | 8156420356 |
Enumeration Date | 2011-04-21 |
Last Update Date | 2011-04-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 137 | NH | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720533961 | Jacqueline Berg | Physical Therapist | 1704 N State St, Bellingham, WA 98225-4605 | 2016-08-17 |
Street Address |
585 UNION AVE, #7A |
City | LACONIA |
State | NH |
Zip Code | 03246 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
1689903007 | Berwick Family Health Center LLC | Family Medicine | 36 Endicott, Laconia, NH 03246 | 2009-12-14 |
1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
1982816823 | Laconia Housing & Redevelopment Authority | Home Health | 25 Union Avenue, Laconia, NH 03246 | 2007-05-04 |
Find all providers in zip 03246 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699929455 | Betty R Anson | Marriage & Family Therapist | 771 N Main St, Laconia, NH 03246-2716 | 2008-11-06 |
1659557742 | Suzanne Elaine Larson | Marriage & Family Therapist | 111 Church St, Laconia, NH 03246-3432 | 2008-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275133381 | Alexa Randall | Marriage & Family Therapist | 245 Rochester Hill Rd Ste 2, Rochester, NH 03867-1709 | 2020-10-28 |
1942816996 | Amorette Harbeck Howland O'brien | Marriage & Family Therapist | 25 Indian Rock Rd Ste 12, Windham, NH 03087-1691 | 2020-09-16 |
1790345643 | Lara Pirro | Marriage & Family Therapist | 48 Troon Drive, Grantham, NH 03753 | 2019-06-13 |
1609330604 | 603 Counseling Inc | Marriage & Family Therapist | 4 Birch St Ste 205, Derry, NH 03038-2136 | 2019-01-24 |
1942784137 | Andrew Watson Wolff | Marriage & Family Therapist | 663 Central St Apt 2, Franklin, NH 03235-2051 | 2018-09-24 |
1124525928 | Guiding Light Therapy Pllc | Marriage & Family Therapist | 78 Heather Cir, Auburn, NH 03032-3951 | 2018-04-09 |
1649776501 | Astrid Eva Wolf-o'hern | Marriage & Family Therapist | 2 Thompson Ln, Durham, NH 03824-3021 | 2018-03-31 |
1215486345 | Shelly Cross | Marriage & Family Therapist | 174 Concord St Ste 280, Peterborough, NH 03458-1222 | 2016-09-30 |
1053787267 | Brian J Hamilton | Marriage & Family Therapist | 151 Main St Ste 6c, Salem, NH 03079-3109 | 2015-08-12 |
1972904175 | Walter Lewis Lowe Jr. | Marriage & Family Therapist | 217 Old Homestead Highway, Swanzey, NH 03446-2507 | 2014-09-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.