Provider Demographics
NPI:1700944303
Name:BERKS COUNSELING ASSOCIATES P.C.
Entity Type:Organization
Organization Name:BERKS COUNSELING ASSOCIATES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:L
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:610-373-7005
Mailing Address - Street 1:1150 BERKSHIRE BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1208
Mailing Address - Country:US
Mailing Address - Phone:610-373-7005
Mailing Address - Fax:610-373-8005
Practice Address - Street 1:1150 BERKSHIRE BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1208
Practice Address - Country:US
Practice Address - Phone:610-373-7005
Practice Address - Fax:610-373-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001503935-0001Medicaid
PA03064300OtherBLUE CROSS
PABE1682197OtherBLUE SHIELD
PA084868Medicare ID - Type Unspecified