CONNOR ANTHONY BERK LMFT
NPI 1104697796
Marriage & Family Therapist in San Marcos, CA
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Connor Berk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Scottsdale, AZ 85253
- Reassigned Medicare billing, California enrollment
- 766 clinicians in this Medicare group
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.
SAN MARCOS, CA 92069
SAN MARCOS, CA 92069
SAN MARCOS, CA 92069
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 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.
Where is Connor Berk located?
Connor Berk practices at 300 Rancheros Dr Ste 130, San Marcos, CA 92069. The listed phone number is (858) 279-1223.
What is Connor Berk's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Connor Berk enrolled in Medicare?
Yes. Connor Berk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Connor Berk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connor Berk reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). 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 Connor Berk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Connor Berk was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Connor Anthony Berk, LMFT · NPI 1104697796
Marriage & Family Therapist provider in San Marcos, California. Individual provider, active in the CMS NPPES registry since January 11, 2024.
## Identity
- **NPI:** 1104697796 (Entity type: Individual)
- **Enumerated:** January 11, 2024
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 156236 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 RANCHEROS DR STE 130, San Marcos, CA 92069-2968
- **Phone:** (858) 279-1223
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Pacific Coast Psychiatric Associates Inc (NPI 1023125465, Scottsdale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104697796) · Data from the CMS NPPES public registry.