MARY BERRY (NPI# 1730563081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730563081 |
| Entity Type | Individual |
| Full Name | MARY BERRY |
| Practice Address |
435 Clark Rd Ste 107 Jacksonville FL 32218-5558 |
| Practice Telephone | 9047650665 |
| Practice Fax Number | 9047650664 |
| Mailing Telephone | 9047650665 |
| Mailing Fax Number | 9047650664 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912547795 | Mary Katrina Berry | Rehabilitation Counselor | 145 Swan Lake Rd, Nortonville, KY 42442-9771 | 2020-01-09 |
| 1043409519 | Mary V Berry | Social Worker | 110 Waterview Rd, St Matthews, SC 29135 | 2007-10-19 |
| 1093881989 | Mary C. Berry | Chiropractor | 31835 124th St, Suite A, Princeton, MN 55371-3316 | 2006-11-24 |
| 1598390460 | Mary Berry | Physician Assistant | 300 Tuskegee Blvd, Dover, DE 19902-5003 | 2020-03-11 |
| 1578125019 | Mary Anne Berry | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2019-07-05 |
| 1508421025 | Mary L Berry | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-05-09 |
| 1215438452 | Mary Jane Berry | Nurse Practitioner | 901 W 38th St Ste 200, Austin, TX 78705-1165 | 2018-02-22 |
| 1649545880 | Mary Dawn Berry | Counselor | 1221 Pierce St, Sioux City, IA 51105-1418 | 2012-03-21 |
| 1609002013 | Mary Berry | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2009-06-01 |
| 1740421213 | Mary Elizabeth Berry | Counselor | 325 Ebenezer Rd, Knoxville, TN 37923-5310 | 2009-03-13 |
| Street Address |
435 CLARK RD STE 107 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-5558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750721999 | Katrina Kaiuway | Counselor | 435 Clark Rd Ste 107, Jacksonville, FL 32218-5558 | 2013-07-02 |
| 1306350798 | Jamearl L Powell | Counselor | 435 Clark Rd Ste 107, Jacksonville, FL 32218-5558 | 2017-11-22 |
| 1962915983 | Lorraine Michelle Lee | Counselor | 435 Clark Rd Ste 107, Jacksonville, FL 32218-5558 | 2017-11-13 |
| 1497266639 | Jasmine Randolph | Counselor | 435 Clark Rd Ste 107, Jacksonville, FL 32218-5558 | 2017-10-16 |
| 1821510900 | Shantel Nicole Simmons | Counselor | 435 Clark Rd Ste 107, Jacksonville, FL 32218-5558 | 2017-07-11 |
| 1790134104 | Lina Herrera-guarneros | Social Worker | 435 Clark Rd Ste 107, Jacksonville, FL 32218-5558 | 2016-06-07 |
| 1841675840 | Andrew Warthen | Counselor | 435 Clark Rd Ste 107, Jacksonville, FL 32218-5558 | 2015-07-21 |
| 1619351848 | India Rivers | Marriage & Family Therapist | 435 Clark Rd Ste 107, Jacksonville, FL 32218-5558 | 2015-07-17 |
| 1972985265 | Phoebe Brown | Marriage & Family Therapist | 435 Clark Rd Ste 107, Jacksonville, FL 32218-5558 | 2015-06-23 |
| 1952795486 | Cherilyn Anson | Counselor | 435 Clark Rd Ste 107, Jacksonville, FL 32218-5558 | 2015-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805322 | Ashley Evans | Counselor | 358 Hunting Green Dr, Jacksonville, NC 28546-9129 | 2020-09-11 |
| 1780298133 | Aurora Health Services LLC | Counselor | 25 North Market Street, 1st Floor, Jacksonville, FL 32202-3220 | 2020-09-03 |
| 1083228456 | Andrea Marie Baxter | Counselor | 1401 Riverplace Blvd Apt 1813, Jacksonville, FL 32207-9098 | 2020-09-03 |
| 1487203683 | Adel Said | Counselor | 1225 W Beaver St Ste 2015, Jacksonville, FL 32204-1414 | 2019-09-10 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1659931541 | Her Counseling and Wellness | Counselor | 2b N Valley Dr, Jacksonville, AR 72076-9298 | 2019-06-13 |
| 1861050858 | Heather Jean Gould | Counselor | 2126 N 1st St Ste J, Jacksonville, AR 72076-2868 | 2019-06-04 |
| 1083174627 | Roberta Martin | Counselor | 355 E 46th St, Jacksonville, FL 32208-5482 | 2019-03-20 |
| 1790259489 | Latanya Renee Maynard | Counselor | 1131 W 32nd St, Jacksonville, FL 32209-4094 | 2019-01-15 |
| 1942779301 | Avie Moore Lewis | Counselor | 921 N Davis St Ste 350, Jacksonville, FL 32209-6804 | 2018-11-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
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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.