Healthcare Provider Details

I. General information

NPI: 1003335076
Provider Name (Legal Business Name): ANNA KATARINA BERIN M.ED., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2017
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 LAKE ST STE 110
OAK PARK IL
60301-1106
US

IV. Provider business mailing address

819 FOREST AVE
RIVER FOREST IL
60305-1361
US

V. Phone/Fax

Practice location:
  • Phone: 630-428-7890
  • Fax:
Mailing address:
  • Phone: 312-391-6729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.013919
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180.014972
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: