CONNOR ANTHONY BERK LMFT
NPI 1104697796
Marriage & Family Therapist in San Marcos, CA

Q: What is Connor Berk's NPI number?

The NPI number for Connor Berk is 1104697796. It was assigned to this individual provider in the NPPES registry on January 11, 2024.

Q: What is Connor Berk's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Connor Berk was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 11, 2024PECOS EnrolledAccepts Medicare Assignment

300 RANCHEROS DR STE 130, SAN MARCOS, CA 92069(858) 279-1223 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Connor Anthony Berk Lmft NPPES

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

CONNOR ANTHONY BERK LMFT (NPI 1104697796) is an individual marriage & family therapist in San Marcos, California, licensed in California (156236) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104697796

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameCONNOR ANTHONY BERKCredential: LMFT

Location Address300 RANCHEROS DR STE 130San Marcos, CA 92069-2968

Mailing Address300 Rancheros Dr Ste 130San Marcos, CA 92069-2968 · (858) 279-1223

Phone(858) 279-1223

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 11, 2024

Last NPPES UpdateSeptember 19, 2025

NPPES CertifiedSeptember 19, 2025

✔ NPI 1104697796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 156236

Definition

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.

300 RANCHEROS DR STE 130, San Marcos, CA 92069

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Secondary Practice Location 1

Location 117140 Bernardo Center DrSan Diego, CA 92128-2093 · Phone (833) 579-4848

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Connor Anthony Berk Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436655768

PECOS Enrollment IDI20251003003829

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.

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