Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSAN BERG
NPI 1417983875
Counselor - Professional in Tucson, AZ

Q: What is Susan Berg's NPI number?

The NPI number for Susan Berg is 1417983875. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Q: What is Susan 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 Susan Berg was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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 25, 2006PECOS Enrolled

3100 N 1ST AVE, TUCSON, AZ 85719(520) 327-4505(520) 202-1889 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Susan Berg NPPES

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

SUSAN BERG (NPI 1417983875) is an individual professional provider in Tucson, Arizona, licensed in Arizona (LPC - 11154) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1417983875

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSUSAN BERG

Location Address3100 N 1ST AVETucson, AZ 85719-2513

Mailing Address127 S 5th AveTucson, AZ 85701-2005 · (520) 327-4505 · Fax (520) 202-1889

Phone(520) 327-4505

Fax(520) 202-1889

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJune 25, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1417983875 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 AZ · LPC - 11154

3100 N 1ST AVE, Tucson, AZ 85719

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9931645306

PECOS Enrollment IDI20240722001879

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 13

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

MELISANDE HOROWITZ

Registered Nurse (Psychiatric/Mental Health, Adult)