MEDICARE: MR. ANDREW E BERGER LMHC

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	LMHC9194	MA

General Provider Information

NPI Number	:	1669752531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANDREW E BERGER LMHC

Provider Business Mailing Address
First Line	:	100 KING ST STE 303
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-3243
Country	:	US
Telephone Number	:	413-923-1070
Fax Number	:	413-241-3929

Provider Business Practice Location Address
First Line	:	100 KING ST STE 303
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-3243
Country	:	US
Telephone Number	:	413-923-1070
Fax Number	:	413-241-3929

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

Provider Enumeration Date	:	08/24/2011
Last Update Date	:	03/26/2026

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