NINA JOHANNA BERKELEY (LPC) – Professional Counselor, NPI 1154629913

NINA JOHANNA BERKELEY (LPC) is a healthcare provider. based in Bremen, Georgia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. LPC006093 (GA). The NPI Number for NINA JOHANNA BERKELEY (LPC) is 1154629913

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
NINA JOHANNA BERKELEY (LPC)
NPI
1154629913
Phone
(770) 537-2367
Address
1449 CASHTOWN RD
Enumeration Date
3 March 2011
Last Update Date
11 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6063290727
Graduation Year
2007 (19 years ago)
PAC ID
4183158397
Group Practice PAC ID
0648694596
Professional Enrollment ID
I20250310002676
Address ID
KY411017830AS2550XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,200 MENTAL HEALTH COUNSELOR in GA

Provider Addresses for NINA JOHANNA BERKELEY (LPC)

  • 1449 CASHTOWN RD

    BREMEN, GA 301104006

    Phone: (770) 537-2367

    Fax: (770) 537-2257

    Type: Mailing

  • 601 20TH ST

    HUNTINGTON, WV 257031512

    Phone: (304) 429-1088

    Type: Location

  • 1005 WHITE WILLOW WAY

    MORGANTOWN, WV 265056119

    Phone: (304) 460-5123

    Fax: (800) 734-8498

    Type: Mailing

  • HHG HEALTH

    4540 US-60

    HUNTINGTON, WV 257054006

    Phone: (304) 552-7111

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241111003249IMental Health CounselorWVTBD
I20250310002676IMental Health CounselorKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648694596View full group profile
NameSpecialtyState
Nurse PractitionerOH
C H I R O P R A C T I CWV
Nurse PractitionerKY
Nurse PractitionerKY
Clinical Social WorkerOH
Nurse PractitionerWV
Mental Health CounselorWV

Reviews

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Frequently asked questions

What NPI should I save for NINA JOHANNA BERKELEY (LPC)?
Save NPI 1154629913 if you need a stable reference for NINA JOHANNA BERKELEY (LPC).
Does this profile mean NINA JOHANNA BERKELEY (LPC) is currently active?
Yes — NINA JOHANNA BERKELEY (LPC) appears active in the national provider directory.
Does NINA JOHANNA BERKELEY (LPC) list a primary specialty?
If you are matching referrals, note Professional Counselor for NINA JOHANNA BERKELEY (LPC). Clinical services aligned with this taxonomy classification.
What location metadata exists for NINA JOHANNA BERKELEY (LPC)?
The page summarizes Bremen, Georgia for NINA JOHANNA BERKELEY (LPC); expand the address list for detail.
Is NINA JOHANNA BERKELEY (LPC) a real provider?
This page reflects official NPPES data for NPI 1154629913. Always confirm identity and privileges with the practice and licensing boards.

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