DEVORIA KEATON BERRY
NPI 1942672761
Counselor - Mental Health in Whiteville, NC

Active since October 21, 2015PECOS Enrolled
817B S MADISON ST, WHITEVILLE, NC 28472(910) 207-6761 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 11, 2017 (3 updates tracked since 2017).

About Devoria Keaton Berry NPPES

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

DEVORIA KEATON BERRY (NPI 1942672761) is an individual mental health provider in Whiteville, North Carolina, licensed in North Carolina (P010377) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Delco.

NPPES Registry Identity

NPI1942672761
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEVORIA KEATON BERRY
Location Address817B S MADISON STWhiteville, NC 28472-4613
Mailing Address44 Dream AveDelco, NC 28436-8700 · (910) 655-0698 · Fax (910) 655-0611
Sole ProprietorYes
Enumeration DateOctober 21, 2015
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1942672761 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 NC · P010377
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-21951 (NC)
817B S MADISON ST, Whiteville, NC 28472

Secondary Practice Location 1

Location 144 Dream AveDelco, NC 28436-8700 · Phone (910) 655-0698 · Fax (910) 655-0611

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devoria Keaton Berry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Devoria Berry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1224 OLD 87 HWY
Delco, NC 28436
  • Reassigned Medicare billing, North Carolina enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

Community/Behavioral Health
817B S MADISON ST
WHITEVILLE, NC 28472
Social Worker (Clinical)
817B S MADISON ST
WHITEVILLE, NC 28472
Community/Behavioral Health
817B S MADISON ST
WHITEVILLE, NC 28472

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 Devoria Berry's NPI number?

The NPI number for Devoria Berry is 1942672761. It was assigned to this individual provider in the NPPES registry on October 21, 2015.

Where is Devoria Berry located?

Devoria Berry practices at 817B S Madison St, Whiteville, NC 28472. The listed phone number is (910) 207-6761.

What is Devoria Berry's specialty?

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

Is Devoria Berry enrolled in Medicare?

Yes. Devoria Berry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Devoria Berry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Devoria Berry reassigns Medicare benefits to Community Support Agency, LLC (Delco, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Devoria Berry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Devoria Berry accept?

Health plans from Cigna Healthcare list Devoria Berry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Devoria Berry was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.