JASMINE ROSE BERGER LPC- 23610 - NPI 1629707104

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Jasmine Rose Berger Lpc- 23610 NPPES

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

JASMINE ROSE BERGER LPC- 23610 (NPI 1629707104) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (20785) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629707104

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJASMINE ROSE BERGERCredential: LPC- 23610

Location Address3050 W AGUA FRIA FWY STE 150Phoenix, AZ 85027-3998

Mailing Address10958 W Sheridan StAvondale, AZ 85392-5882 · (520) 358-8038

Phone(602) 802-8388

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJune 9, 2022

Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1629707104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AZ · 20785

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 23610 (AZ)

3050 W AGUA FRIA FWY STE 150, Phoenix, AZ 85027

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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, UnitedHealthcare.Insurance ›

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

Jasmine Rose Berger Lpc- 23610 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 ID42794158

PECOS Enrollment IDI20260317003169

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 7

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

MRS. CARMINE DIONE VELEZ LAC

Counselor (Mental Health)