PRESTON EUGENE BERRY IADC & CRADC
NPI 1184873804
Counselor - Addiction (Substance Use Disorder) in Davenport, IA

Active since September 17, 2008
1523 S. FAIRMONT STREET, DAVENPORT, IA 52802(563) 322-2667(563) 322-3671 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2022, Apr 8, 2022, Dec 28, 2020 and 1 more (4 updates tracked since 2019).

About Preston Eugene Berry Iadc & Cradc NPPES

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

PRESTON EUGENE BERRY IADC & CRADC (NPI 1184873804) is an individual addiction (substance use disorder) provider in Davenport, Iowa, licensed in Iowa (21R028) and active in the NPI registry since September 2008. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1184873804
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePRESTON EUGENE BERRYCredential: IADC & CRADC
Location Address1523 S. FAIRMONT STREETDavenport, IA 52802-5351
Mailing Address1523 S. Fairmont StreetDavenport, IA 52802-5351 · (563) 322-2667 · Fax (563) 322-3671
Fax(563) 322-3671
Sole ProprietorYes
Enumeration DateSeptember 17, 2008
Last NPPES UpdateMay 13, 20224 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
NPI 1184873804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed in IA · 21R028 Licensed in TX · 7544 Licensed in TX · 11618-1121 Licensed in IL · 37377
1523 S. FAIRMONT STREET, Davenport, IA 52802

Secondary Practice Locations 4

Location 17585 Ingram Road #1501San Antonio, TX 78251 · Phone (210) 854-6801
Location 23407 W Columbia AveDavenport, IA 52804-1313 · Phone (210) 993-6432
Location 3150 Rustleaf DrSan Antonio, TX 78242-1215 · Phone (210) 854-6801
Location 42701 17th StRock Island, IL 61201-5351 · Phone (093) 779-2031

Other Identifiers 4

Other7544TX · Texas Department Of State Health Services
Other37377IL · Cradc
Other21R028IA · Iadc
Other11618-1121TX · Icadc

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 Preston Berry's NPI number?

The NPI number for Preston Berry is 1184873804. It was assigned to this individual provider in the NPPES registry on September 17, 2008.

Where is Preston Berry located?

Preston Berry practices at 1523 S. Fairmont Street, Davenport, IA 52802. The listed phone number is (563) 322-2667.

What is Preston Berry's specialty?

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

When was this NPI record last updated?

The NPPES record for Preston Berry was last updated on May 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.