DAVID BERG LAC
NPI 1194455295
Counselor - Professional in Mantua, NJ

Q: What is David Berg's NPI number?

The NPI number for David Berg is 1194455295. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Q: What is David Berg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for David Berg was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 13, 2022

113 PENDRAGON WAY, MANTUA, NJ 08051(856) 332-3003 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About David Berg Lac NPPES

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

DAVID BERG LAC (NPI 1194455295) is an individual professional provider in Mantua, New Jersey, licensed in New Jersey (37AC00536100) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1194455295

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDAVID BERGCredential: LAC

Location Address113 PENDRAGON WAYMantua, NJ 08051-2218

Mailing Address113 Pendragon WayMantua, NJ 08051-2218 · (856) 332-3003

Phone(856) 332-3003

Sole ProprietorNo

Enumeration DateJune 13, 2022

NPPES CertifiedJune 13, 2022

✔ NPI 1194455295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NJ · 37AC00536100

113 PENDRAGON WAY, Mantua, NJ 08051

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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 David Berg's NPI number?

The NPI number for David Berg is 1194455295. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is David Berg located?

David Berg practices at 113 Pendragon Way, Mantua, NJ 08051. The listed phone number is (856) 332-3003.

What is David Berg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for David Berg was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.