| Kevin Berry, LMHC | |
|
1908 Griffins Green Blvd, Bartow, FL 33830-7930 | |
| (863) 667-8570 | |
| Not Available |
| Full Name | Kevin Berry |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 1908 Griffins Green Blvd, Bartow, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861175275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH22274 (Florida) | Secondary |
| 101Y00000X | Counselor | MH22274 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Regional Health Systems Inc | 8325952914 | 513 |
| Entity Name | Lakeland Regional Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497748743 PECOS PAC ID: 8325952914 Enrollment ID: O20031118000384 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Berry, LMHC 1908 Griffins Green Blvd, Bartow, FL 33830-7930 Ph: (863) 667-8570 | Kevin Berry, LMHC 1908 Griffins Green Blvd, Bartow, FL 33830-7930 Ph: (863) 667-8570 |
Youlaunda Lashawn Wright-speed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Forrest Dr, Bartow, FL 33830 Phone: 863-440-6230 |
Jessica Little, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575 Fax: 863-582-9251 |
Amber Screen, LMHC Counselor Medicare: Medicare Enrolled Practice Location: Po Box 982, Bartow, FL 33831 Phone: 863-622-2189 |
Travis Risner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575 Fax: 863-582-9251 |
Chad Feacher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575 |
Joni Irene Nelson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 495 S Central Ave, Bartow, FL 33830 Phone: 863-585-3247 |
Michael Scott Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1239 E Main St, Bartow, FL 33830 Phone: 863-519-0575 |