Skip Navigation Link. Please press insert + down arrow if jaws does not start reading the content.

Provider Information for 1063811362


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

NATALIE R. L BERRYMAN MS, LPC


Sex: Female

NPI: 1063811362
Last Updated: 2025-03-25
Certification Date: 2025-03-25

Details

NameValue
NPI1063811362
Enumeration Date2014-08-22
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 5238 64TH AVE APT 16
KENOSHA, WI 53144-3745
United States

Phone: 918-388-7380 | Fax:
 
Primary Practice Address 6809 122ND AVE
KENOSHA, WI 53142-7335
United States

Phone: 262-891-6575 | Fax:262-654-5467
 
Secondary Practice Address(es)

1143 WARWICK WAY UNIT A
RACINE, WI 53406-5661
United States

Phone: 262-789-1191 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDWI1063811362
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalWI8296