RALPH BERRY LADC NPI 1043569049

NPI Information

  • NPI: 1043569049
  • Provider Name: RALPH BERRY, LADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 15 WASHINGTON ST STE 4
    BRAINERD, MN
    ZIP 56401
  • Phone: (612) 454-2451

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NPI Details

Ralph Berry, LADC is an addiction (substance use disorder) counselor in Brainerd, MN. Ralph Berry, LADC NPI is 1043569049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 WASHINGTON ST STE 4
BRAINERD, MN
ZIP 56401-351
Phone: (612) 454-2451

The enumeration date for this NPI number is 9/5/2012 and was last updated on 9/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)303336MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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