TINA MARIE BERG (NPI# 1407402886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407402886 |
| Entity Type | Individual |
| Full Name | TINA MARIE BERG |
| Credential | LPCA |
| Practice Address |
10801 Monroe Rd Matthews NC 28105-8335 |
| Mailing Address |
2842 Waxhaw Indian Trail Rd Indian Trail NC 28079-4223 |
| Practice Telephone | 3527778622 |
| Mailing Telephone | 3527778622 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A15062 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407906381 | Tina Marie Berg | Audiologist | 625 Ne Main St, Suite 1, Lewistown, MT 59457-2084 | 2007-01-11 |
| 1558517862 | Tina Louise Berg | Massage Therapist | 3203 W Mcgraw St, Suite 202, Seattle, WA 98199-3236 | 2008-08-18 |
| Street Address |
10801 MONROE RD |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-8335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306187075 | Sergio Andres Arenas Velasquez | Counselor | 10801 Monroe Rd, Matthews, NC 28105 | 2013-03-06 |
| 1073152336 | Kimberly Sue Miller | Social Worker | 10801 Monroe Rd, Matthews, NC 28105-8335 | 2020-01-03 |
| 1780148908 | Andrea Weaver | Counselor | 10801 Monroe Rd, Matthews, NC 28105-8335 | 2019-01-23 |
| 1871024893 | Ceh | Health Maintenance Organization | 10801 Monroe Rd, Suite A, Matthews, NC 28105-8335 | 2017-03-22 |
| 1083154959 | Jasmine Sinclair | Social Worker | 10801 Monroe Rd, Matthews, NC 28105-8335 | 2017-02-27 |
| 1851830152 | Allison Tresslar | Counselor | 10801 Monroe Rd, Suite A, Matthews, NC 28105-8335 | 2017-02-20 |
| 1871032359 | Candice Caldwell Moffatt | Counselor | 10801 Monroe Rd, Matthews, NC 28105 | 2017-02-17 |
| 1982154324 | Everett Allen | Physician Assistant | 10801 Monroe Rd, Suite A, Matthews, NC 28105-8335 | 2016-10-10 |
| 1760838080 | Tara Pressley Neri | Counselor | 10801 Monroe Rd, Matthews, NC 28105-8335 | 2016-05-05 |
| 1184082935 | Tori Johnson | Marriage & Family Therapist | 10801 Monroe Rd, Suite A, Matthews, NC 28105-8335 | 2016-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635794 | Shannon Marie Berger | Counselor | 5005 Cinnamon Dr, Matthews, NC 28104-6202 | 2020-06-29 |
| 1679196620 | La Vida Counseling, Pllc | Counselor | 1122 Sam Newell Rd Ste 103, Matthews, NC 28105-5016 | 2020-05-26 |
| 1285260281 | Amy Dunn | Counselor | 2840 Ritz Ln, Matthews, NC 28105-9443 | 2020-03-21 |
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1205392099 | Mindful Movements, Pllc | Counselor | 1118 Sam Newell Rd Ste D1andd4, Matthews, NC 28105-5041 | 2019-02-16 |
| 1255863015 | Christine Turpyn | Counselor | 2510 Hamlet Ct, Matthews, NC 28105-5455 | 2017-03-31 |
| 1801260971 | Hilary H Carr | Counselor | 1122 Sam Newell Rd Ste 114, Matthews, NC 28105-5016 | 2015-11-30 |
| 1609268655 | Reaching Resolution LLC | Counselor | 1140 Sam Newell Rd # B4, Matthews, NC 28105-5065 | 2015-02-27 |
| 1033545215 | Tracy Masiello | Counselor | 1146 Sam Newell Rd, D, Matthews, NC 28105-5071 | 2013-09-19 |
| 1306187075 | Sergio Andres Arenas Velasquez | Counselor | 10801 Monroe Rd, Matthews, NC 28105 | 2013-03-06 |
| Find all providers in MATTHEWS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.