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KEN BERRY LMFT
NPI 1457633620
Counselor - Mental Health in Jacksonville, AR

Active since September 14, 2011PECOS EnrolledAccepts Medicare Assignment
1200 JAMES STREET, JACKSONVILLE, AR 72076(501) 982-5000(501) 982-5007 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ken Berry Lmft NPPES

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

KEN BERRY LMFT (NPI 1457633620) is an individual mental health provider in Jacksonville, Arkansas and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1457633620
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEN BERRYCredential: LMFT
Location Address1200 JAMES STREETJacksonville, AR 72076
Mailing Address1815 Pleasant Grove RoadJonesboro, AR 72404 · (870) 933-6886 · Fax (870) 933-9395
Phone(501) 982-5000
Fax(501) 982-5007
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 14, 2011
Last NPPES UpdateOctober 1, 2013
✔ NPI 1457633620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1200 JAMES STREET, Jacksonville, AR 72076
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ken Berry Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557834256
PECOS Enrollment IDI20260624002868
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 9

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

MRS. JOANNA L. BERRY LMFT
Counselor (Mental Health)
1200 JAMES STREET
JACKSONVILLE, AR 72076
Pulaski County (501) 982-5000
MRS. BRANDI LASHAYE EDWARDS LCSW
Social Worker (Clinical)
1200 JAMES STREET
JACKSONVILLE, AR 72076
Pulaski County (501) 982-5000
MR. MARK HOWARD KELSO LCSW
Counselor (Mental Health)
1200 JAMES STREET
JACKSONVILLE, AR 72076
Pulaski County (501) 982-5000
COURTNEY DAWN REAVES
Case Manager/Care Coordinator
1200 JAMES STREET
JACKSONVILLE, AR 72076
Pulaski County (501) 982-5000
BRANDI NICOLE BAKER MHPP
Case Manager/Care Coordinator
1200 JAMES STREET
JACKSONVILLE, AR 72076
Pulaski County (501) 982-5000
FREEMAN FLOYD
Clinical Ethicist
1200 JAMES STREET
JACKSONVILLE, AR 72076
Pulaski County (501) 982-5000
JAMES KENNETH BURNETT MHPP
Case Manager/Care Coordinator
1200 JAMES STREET
JACKSONVILLE, AR 72076
Pulaski County (501) 982-5000
SHANA LYNN GENENBACHER MHPP
Case Manager/Care Coordinator
1200 JAMES STREET
JACKSONVILLE, AR 72076
Pulaski County (501) 982-5000

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 Ken Berry's NPI number?

The NPI number for Ken Berry is 1457633620. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Where is Ken Berry located?

Ken Berry practices at 1200 James Street, Jacksonville, AR 72076. The listed phone number is (501) 982-5000.

What is Ken Berry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Ken Berry enrolled in Medicare?

Yes. Ken Berry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ken Berry was last updated on October 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.