JESSICA R BERRY MS, LAC, LPCC
NPI 1104499987
Counselor - Addiction (Substance Use Disorder) in Denver, CO

Active since July 20, 2021PECOS Enrolled
4455 E 12TH AVE, DENVER, CO 80220(303) 504-7700 Get Directions Write a Review

NPPES record last updated: March 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2025, Mar 20, 2025, Mar 16, 2025 and 1 more (4 updates tracked since 2021).

About Jessica R Berry Ms, Lac, Lpcc NPPES

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

JESSICA R BERRY MS, LAC, LPCC (NPI 1104499987) is an individual addiction (substance use disorder) provider in Denver, Colorado, licensed in Colorado (ACD.0002701) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104499987
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA R BERRYCredential: MS, LAC, LPCC
Location Address4455 E 12TH AVEDenver, CO 80220-2415
Mailing Address110 16th St Ste 1460Denver, CO 80202-5202 · (303) 873-3630
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 20, 2021
Last NPPES UpdateMarch 30, 20254 updates tracked since enumeration
NPPES CertifiedMarch 30, 2025
NPI 1104499987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CO · ACD.0002701
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
4455 E 12TH AVE, Denver, CO 80220

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica R Berry Ms, Lac, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557887569
PECOS Enrollment IDI20250501003196
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.

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.

Psychiatry & Neurology (Psychiatry)
4455 E 12TH AVE
DENVER, CO 80220
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220
Licensed Practical Nurse
4455 E 12TH AVE
DENVER, CO 80220
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220
Social Worker (Clinical)
4455 E 12TH AVE
DENVER, CO 80220
Counselor (Professional)
4455 E 12TH AVE
DENVER, CO 80220
Psychiatry & Neurology (Psychiatry)
4455 E 12TH AVE
DENVER, CO 80220
Case Manager/Care Coordinator
4455 E 12TH AVE
DENVER, CO 80220

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 Jessica Berry's NPI number?

The NPI number for Jessica Berry is 1104499987. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Jessica Berry located?

Jessica Berry practices at 4455 E 12th Ave, Denver, CO 80220. The listed phone number is (303) 504-7700.

What is Jessica Berry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jessica Berry enrolled in Medicare?

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

What insurance does Jessica Berry accept?

Health plans from Providence Health Plan list Jessica 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 Jessica Berry was last updated on March 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.