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JODY L BERRY LPC
NPI 1033730023
Counselor - Professional in Appleton, WI

Active since April 30, 2020PECOS Enrolled
320 S WALNUT ST, APPLETON, WI 54911(920) 832-5270(920) 832-4767 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jody L Berry Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODY L BERRY LPC (NPI 1033730023) is an individual professional provider in Appleton, Wisconsin, licensed in Wisconsin (7810) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1033730023
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJODY L BERRYCredential: LPC
Location Address320 S WALNUT STAppleton, WI 54911-5918
Mailing Address320 S Walnut StAppleton, WI 54911-5918 · (920) 832-5270 · Fax (920) 832-4767
Phone(920) 832-5270
Fax(920) 832-4767
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 30, 2020
Last NPPES UpdateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1033730023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 7810
320 S WALNUT ST, Appleton, WI 54911
Open in Google Maps ↗

Other Names 1

Former Name (1)Jody L Misovec

Other Identifiers 1

Medicaid100099066WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jody L Berry Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153825898
PECOS Enrollment IDI20260112002349
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jody Berry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Outagamie
Same address
Mental Health (Including Community Mental Health Center)
320 S. WALNUT ST.
Appleton, WI 54911
  • Reassigned Medicare billing, Wisconsin enrollment
  • 23 clinicians in this Medicare group
NPI 1629138995 (920) 832-4741

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY L HARTMANN
Social Worker (Clinical)
320 S WALNUT ST
APPLETON, WI 54911
Outagamie County (920) 832-5270
MRS. KATHERINE ANNE CHAGANOS LCSW
Social Worker (Clinical)
320 S WALNUT ST
APPLETON, WI 54911
Outagamie County (920) 832-5270
INEZ A RODRIGUEZ
Counselor (Professional)
320 S WALNUT ST
APPLETON, WI 54911
Outagamie County (920) 832-5270
ROCHELLE A KOTTKE LCSW
Social Worker (Clinical)
320 S WALNUT ST
APPLETON, WI 54911
Outagamie County (920) 832-5270
KIMBERLY A. HORSCH APSW
Social Worker
320 S WALNUT ST
APPLETON, WI 54911
Outagamie County (920) 832-5270
KATHERINE M. BALDWIN APSW
Social Worker
320 S WALNUT ST
APPLETON, WI 54911
Outagamie County (920) 832-5270
JESSICA LESSOR
Nurse Practitioner (Family)
320 S WALNUT ST
APPLETON, WI 54911
Outagamie County (920) 832-1649
KATHRYN A OPFER APSW
Social Worker (Clinical)
320 S WALNUT ST
APPLETON, WI 54911
Outagamie County (920) 832-5270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jody Berry's NPI number?

The NPI number for Jody Berry is 1033730023. It was assigned to this individual provider in the NPPES registry on April 30, 2020. The provider is also known as Jody L Misovec.

Where is Jody Berry located?

Jody Berry practices at 320 S Walnut St, Appleton, WI 54911. The listed phone number is (920) 832-5270.

What is Jody Berry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jody Berry enrolled in Medicare?

Yes. Jody Berry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jody Berry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jody Berry reassigns Medicare benefits to County Of Outagamie (Appleton, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jody Berry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jody Berry accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Jody Berry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jody Berry was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.