MS. JUDY IRENE CARL BERG LPC
NPI 1275843344
Counselor - Professional in Canonsburg, PA
NPI Status: Active since October 07, 2010
Contact Information
1200 ASHWOOD DR STE 1201
CANONSBURG, PA
ZIP 15317
Phone: (724) 884-0466
- Individual
- Female
- Years of Experience 24
- Counselor
- Professional
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JUDY CARL BERG
This page provides the complete NPI Profile along with additional information for Judy Carl Berg, a provider established in Canonsburg, Pennsylvania with a medical specialization in Counselor, focusing in professional and more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1275843344 assigned on October 2010. The practitioner's primary taxonomy code is 101YP2500X with license number PC005628 (PA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1275843344
- Provider Name
- MS. JUDY IRENE CARL BERG LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1200 ASHWOOD DR STE 1201 CANONSBURG, PA 15317
- Location Phone
- (724) 884-0466
- Mailing Address
- 1200 ASHWOOD DR STE 1201 CANONSBURG, PA 15317
- Mailing Phone
- (724) 884-0466
- Medical School Name
- OTHER
- Graduation Year
- 2002
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-07-2010
- Last Update Date
- 07-18-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PC005628
- License State
- PA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access WV PPO Bronze 8900 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Silver 7000 - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 1500 - PPO
- my Blue Access WV PPO Standard Silver 5000 - PPO
- my Blue Access WV PPO Standard Silver 5000 + Adult Dental and Vision - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Judy Carl Berg is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Judy Carl Berg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9830548205
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240813000278
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for MS. JUDY IRENE CARL BERG LPC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 7 | 5 | 8 | 4 | 3 | 3 | 4 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 14 | 5 | 16 | 4 | 6 | 3 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 4 + 5 + 1 + 6 + 4 + 6 + 3 + 8 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1275843344 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
EMILY S. HEIM MA, MSW, LPC, LCSW
Social Worker
(Clinical)
1200 ASHWOOD DR STE 1201
CANONSBURG, PA
ZIP 15317
PSYCHOTHERAPY ASSOCIATES, INC.
Counselor
(Mental Health)
1200 ASHWOOD DR STE 1201
CANONSBURG, PA
ZIP 15317
LORRIE DINSMORE LSW
Counselor
(Mental Health)
1200 ASHWOOD DR STE 1201
CANONSBURG, PA
ZIP 15317
MR. JAMES-BRIAN ALONZO BYERS L.S.W
Social Worker
1200 ASHWOOD DR STE 1201
CANONSBURG, PA
ZIP 15317
DEVYN MACKENZIE NESTOR LCSW
Social Worker
(Clinical)
1200 ASHWOOD DR STE 1201
CANONSBURG, PA
ZIP 15317
CHRISTIN MARIE JULO LPC
Counselor
(Mental Health)
1200 ASHWOOD DR STE 1201
CANONSBURG, PA
ZIP 15317
KRISTA POWELL
Counselor
(Mental Health)
1200 ASHWOOD DR STE 1201
CANONSBURG, PA
ZIP 15317
NICOLE ZUKOWSKI MS, LAPC
Counselor
(Mental Health)
1200 ASHWOOD DR STE 1201
CANONSBURG, PA
ZIP 15317
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275843344, enumerated as an "individual" on October 07, 2010.
The provider is located at 1200 ASHWOOD DR STE 1201 CANONSBURG, PA 15317 and the phone number is (724) 884-0466.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Highmark Blue Cross Blue Shield West Virginia. Please consult your insurance carrier or call the provider to verify.