KEVIN BERRY LMHC
NPI 1861175275
Counselor in Bartow, FL

Active since August 11, 2023PECOS EnrolledAccepts Medicare Assignment
1908 GRIFFINS GREEN BLVD, BARTOW, FL 33830(863) 667-8570 Get Directions Write a Review

NPPES record last updated: January 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 31, 2023, Aug 18, 2023, Aug 11, 2023 (3 updates tracked since 2023).

About Kevin Berry Lmhc NPPES

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

KEVIN BERRY LMHC (NPI 1861175275) is an individual counselor in Bartow, Florida, licensed in Florida (MH22274) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861175275
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKEVIN BERRYCredential: LMHC
Location Address1908 GRIFFINS GREEN BLVDBartow, FL 33830-7930
Mailing Address1908 Griffins Green BlvdBartow, FL 33830-7930 · (863) 667-8570
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 11, 2023
Last NPPES UpdateJanuary 14, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2024
NPI 1861175275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in FL · MH22274
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MH22274 (FL)
1908 GRIFFINS GREEN BLVD, Bartow, FL 33830

Accepted 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

Kevin Berry Lmhc 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 ID3476900119
PECOS Enrollment IDI20231116003502
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861175275, enumerated as an "individual" on August 11, 2023.

The provider is located at 1908 GRIFFINS GREEN BLVD BARTOW, FL 33830 and the phone number is (863) 667-8570.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.