MEDICARE: ADAM EDWARD BERG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	5528	MN

General Provider Information

NPI Number	:	1689516825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM EDWARD BERG

Provider Business Mailing Address
First Line	:	1700 2ND ST NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-1139
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 2ND ST NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-1139
Country	:	US
Telephone Number	:	612-259-7384
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “ ADAM EDWARD BERG ” Practice Location

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