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HAZEL BERRY
NPI 1184017444
Counselor - Mental Health in Brookings, OR

Active since March 11, 2015PECOS Enrolled
412 ALDER ST, BROOKINGS, OR 97415(541) 813-2535(541) 813-2536 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hazel Berry NPPES

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

HAZEL BERRY (NPI 1184017444) is an individual mental health provider in Brookings, Oregon, licensed in Oregon (C3692/ACTIVE) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184017444
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHAZEL BERRY
Location Address412 ALDER STBrookings, OR 97415-9014
Mailing Address94235 Moore St Ste 121Gold Beach, OR 97444-9704 · (541) 813-2535 · Fax (541) 813-2536
Phone(541) 813-2535
Fax(541) 813-2536
Sole ProprietorNo
Enumeration DateMarch 11, 2015
✔ NPI 1184017444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · C3692/ACTIVE
412 ALDER ST, Brookings, OR 97415
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hazel 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.

Medicare Billing Reassignment

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

Adapt
0.7 mi
Community/Behavioral Health
615 5TH ST
Brookings, OR 97415
  • Reassigned Medicare billing, Oregon enrollment
  • 83 clinicians in this Medicare group
NPI 1760145338 (541) 672-2691

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
84 services13 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

Other Providers at the Same Location NPPES 6

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

ALDER MEDICAL CENTER PC
Family Medicine
412 ALDER ST
BROOKINGS, OR 97415
Curry County (541) 469-5919
CHARITO NAVA
Massage Therapist
412 ALDER ST
BROOKINGS, OR 97415
Curry County (541) 813-1863
MR. JOSHUA FRANCIS LMT
Massage Therapist
412 ALDER ST
BROOKINGS, OR 97415
Curry County (541) 813-1863
SAVANNAH ALEXIS OTT
Massage Therapist
412 ALDER ST
BROOKINGS, OR 97415
Curry County (541) 813-1863
MAUREEN HOEFLINGER
Massage Therapist
412 ALDER ST
BROOKINGS, OR 97415
Curry County (541) 813-1863
COASTAL CARDIOLOGY LLC
Internal Medicine (Cardiovascular Disease)
412 ALDER ST
BROOKINGS, OR 97415
Curry County (541) 412-7799

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 Hazel Berry's NPI number?

The NPI number for Hazel Berry is 1184017444. It was assigned to this individual provider in the NPPES registry on March 11, 2015.

Where is Hazel Berry located?

Hazel Berry practices at 412 Alder St, Brookings, OR 97415. The listed phone number is (541) 813-2535.

What is Hazel Berry's specialty?

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

Is Hazel Berry enrolled in Medicare?

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

Which organization bills Medicare for Hazel Berry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hazel Berry reassigns Medicare benefits to Adapt (Brookings, OR). 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 Hazel Berry'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 Hazel Berry was last updated on March 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.