STACY ANN BERG LPC
NPI 1396829065
Health Educator in Tulsa, OK

Q: What is Stacy Berg's NPI number?

The NPI number for Stacy Berg is 1396829065. It was assigned to this individual provider in the NPPES registry on October 25, 2006. The provider is also known as Stacy Ann Markum.

Q: What is Stacy Berg's specialty?

The primary specialty registered for this NPI is Health Educator with taxonomy code 174H00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Berg was last updated on September 21, 2015. 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.

Active since October 25, 2006PECOS Enrolled

550 S PEORIA AVE, TULSA, OK 74120(918) 588-1900(918) 582-6405 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stacy Ann Berg Lpc NPPES

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

STACY ANN BERG LPC (NPI 1396829065) is an individual health educator provider in Tulsa, Oklahoma, licensed in Oklahoma (21410447) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1396829065

Entity TypeIndividualFemale

Primary Taxonomy174H00000X

Provider Legal NameSTACY ANN BERGCredential: LPC

Location Address550 S PEORIA AVETulsa, OK 74120-3820

Mailing Address550 S Peoria AveTulsa, OK 74120-3820 · (918) 588-1900 · Fax (918) 582-6405

Phone(918) 588-1900

Fax(918) 582-6405

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateOctober 25, 2006

Last NPPES UpdateSeptember 21, 2015

✔ NPI 1396829065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHealth EducatorOther Service Providers

Taxonomy Code174H00000X

License✔ Licensed in OK · 21410447

Definition

Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 3570 (OK)

550 S PEORIA AVE, Tulsa, OK 74120

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Other Names 1

Former Name (1)Stacy Ann Markum

Other Identifiers 1

Medicaid200566570 AOK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Ann Berg Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961727938

PECOS Enrollment IDI20250919001870

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.

Other Providers at the Same Location NPPES 20

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

ANNA CHRISTINE SOBOL RD

Dietitian, Registered