MS. DEBRA JEAN BERTH (MA) – Mental Health Counselor, NPI 1912608399

MS. DEBRA JEAN BERTH (MA) is a healthcare provider. based in Chicago, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA. They hold a License No. 150.108727 (IL). The NPI Number for MS. DEBRA JEAN BERTH (MA) is 1912608399

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MS. DEBRA JEAN BERTH (MA)
NPI
1912608399
Phone
(773) 490-6536
Address
5240 N SHERIDAN RD APT 920
Enumeration Date
13 March 2023
Last Update Date
13 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7733074501
Graduation Year
1999 (27 years ago)
PAC ID
5395242192
Group Practice PAC ID
8729500327
Professional Enrollment ID
I20251008001586
Address ID
IL600155066DE89XXXCTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for MS. DEBRA JEAN BERTH (MA)

  • 5240 N SHERIDAN RD APT 920

    CHICAGO, IL 606402599

    Phone: (773) 490-6536

    Type: Mailing

  • 1247 WAUKEGAN RD STE 103

    GLENVIEW, IL 600253057

    Phone: (773) 242-9716

    Type: Location

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: 2025-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20251008001586IMental Health CounselorILTBD

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 60640)

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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: 8729500327View full group profile
NameSpecialtyState
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Is MS. DEBRA JEAN BERTH (MA) listed with a National Provider Identifier?
Yes — MS. DEBRA JEAN BERTH (MA) has NPI 1912608399 on file in the registry.
Would MS. DEBRA JEAN BERTH (MA) appear as active to a payer?
You can treat MS. DEBRA JEAN BERTH (MA) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MS. DEBRA JEAN BERTH (MA)?
At a glance, MS. DEBRA JEAN BERTH (MA) is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is MS. DEBRA JEAN BERTH (MA) located near Chicago?
MS. DEBRA JEAN BERTH (MA) currently maps to Chicago, Illinois in this extract.
When was this NPI issued?
Enumeration for MS. DEBRA JEAN BERTH (MA) is noted as March 13, 2023 where the registry provides it.

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