Kevin Berryman is a Counselor in Omaha, Nebraska. Kevin Berryman practices all healthcare services and medical treatments related to Counselor. The NPI Number for Kevin Berryman is 1194860593. The last update date is 2022-07-07.
Kevin Berryman's current location address is 1941 S 42nd St Ste 328, Omaha, Nebraska. You can contact this provider via phone number 4026148444 and fax number 4026148443. The mailing address for Kevin Berryman is 1941 S 42nd St Ste 328, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Berryman |
|---|---|
| Address | 1941 S 42nd St Ste 328, Omaha, Nebraska |
| Phone Number | 4026148444 |
| Fax Number | 4026148443 |
| Sole Proprietor | N |
| Credentials | LMHP AND P |
NPI Number Detail
| NPI Number | 1194860593 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2022-07-07 |
Provider Mailing Address Detail
| Address | 1941 S 42nd St Ste 328 |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681052943 |
| Phone Number | 4026148444 |
| Fax Number | 4026148443 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 3306 |
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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 supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20025660400 | NE | -- | |
| 47037660626 | NE | -- | |
| 47037660631 | NE | -- |
Post Comment/ Review Below
What is the Kevin Berryman's unique identification number?
The Kevin Berryman has been assigned the NPI (National Provider Identifier) Number 1194860593 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Kevin Berryman's facilities are situated?
The facilities of Kevin Berryman are physically located at the following address: 1941 S 42Nd St Ste 328, Omaha, NE, 681052943.
What is the Kevin Berryman's specialty and taxonomy code?
The Kevin Berryman's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
On what date did the Kevin Berryman receive the assignment of its 1194860593 from the Centers for Medicare & Medicaid Services?
The Kevin Berryman was issued its 1194860593 by the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date was the information pertaining to Kevin Berryman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kevin Berryman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-07.