CHEYENNE BERRY
NPI 1114523511
Counselor - Mental Health in Santa Clara, CA

Active since December 10, 2020PECOS Enrolled
KAISER PERMANENTE BEHAVIORAL HEALTH CENTER, 3840 HOMESTEAD ROAD, SANTA CLARA, CA 95051(408) 851-4923(408) 851-4925 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2023, Dec 10, 2020 (2 updates tracked since 2020).

About Cheyenne Berry NPPES

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

CHEYENNE BERRY (NPI 1114523511) is an individual mental health provider in Santa Clara, California, licensed in California (127298) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114523511
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHEYENNE BERRY
Location AddressKAISER PERMANENTE BEHAVIORAL HEALTH CENTER, 3840 HOMESTEAD ROADSanta Clara, CA 95051
Mailing AddressKaiser Permanente Behavioral Health Center, 3840 Homestead RoadSanta Clara, CA 95051 · (408) 851-4923 · Fax (408) 851-4925
Fax(408) 851-4925
Sole ProprietorNo
Enumeration DateDecember 10, 2020
Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
NPI 1114523511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in CA · 127298 Licensed in CA · AMFT90521
KAISER PERMANENTE BEHAVIORAL HEALTH CENTER, Santa Clara, CA 95051

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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.

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 Cheyenne Berry's NPI number?

The NPI number for Cheyenne Berry is 1114523511. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Where is Cheyenne Berry located?

Cheyenne Berry practices at Kaiser Permanente Behavioral Health Center 3840 Homestead Road, Santa Clara, CA 95051. The listed phone number is (408) 851-4923.

What is Cheyenne Berry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Cheyenne Berry enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Cheyenne Berry was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.