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BERNETTA ST. OMER BS
NPI 1275986770
Counselor - Addiction (Substance Use Disorder) in Memphis, TN

Active since July 20, 2016
1734 MADISON AVE, MEMPHIS, TN 38104(901) 722-9420(901) 722-9422 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bernetta St. Omer Bs NPPES

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

BERNETTA ST. OMER BS (NPI 1275986770) is an individual addiction (substance use disorder) provider in Memphis, Tennessee and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1275986770
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBERNETTA ST. OMERCredential: BS
Location Address1734 MADISON AVEMemphis, TN 38104-6414
Mailing Address1734 Madison AveMemphis, TN 38104-6414 · (901) 722-9420 · Fax (901) 722-9422
Phone(901) 722-9420
Fax(901) 722-9422
Sole ProprietorYes
Enumeration DateJuly 20, 2016
✔ NPI 1275986770 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
1734 MADISON AVE, Memphis, TN 38104
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Other Providers at the Same Location NPPES 13

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

MRS. JENNIFER LAUREN RICKETT NP
Nurse Practitioner (Family)
1734 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 489-1878
MRS. PAMELA DENISE CHEARS LADAC
Counselor
1734 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-9420
DANA AGRANOV
Counselor (Addiction (Substance Use Disorder))
1734 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-9420
TIFFANIE ROBERTSON
Counselor (Addiction (Substance Use Disorder))
1734 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-9420
BHG REFERENCE LAB, LLC
Clinical Medical Laboratory
1734 MADISON AVE
MEMPHIS, TN 38104
Shelby County (214) 365-6100
VCPHCS VIII, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1734 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-9420
SUMMER THOMPSON MAMFT
Counselor (Addiction (Substance Use Disorder))
1734 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-9420
WELLNESS AMBULATORY CARE INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
1734 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-9420

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 Bernetta St. Omer's NPI number?

The NPI number for Bernetta St. Omer is 1275986770. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Where is Bernetta St. Omer located?

Bernetta St. Omer practices at 1734 Madison Ave, Memphis, TN 38104. The listed phone number is (901) 722-9420.

What is Bernetta St. Omer'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 Bernetta St. Omer was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.