Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Berlin

Individual provider Professional Counselor · NPI 1407492101

Jeremy Berlin is a Professional Counselor in Santa Rosa, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

5755 Mountain Hawk Dr Ste 201
Santa Rosa, CA 95409-4451
Phone: (707) 222-5874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2455 Bennett Valley Rd Ste B201, Santa Rosa, CA 95404-5667 — (707) 520-4357

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X (CA)
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1407492101
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 18, 2019
Last updated in NPPESMarch 19, 2020
Certification dateMarch 19, 2020
Mailing address5755 Mountain Hawk Dr Ste 201, Santa Rosa, CA 95409-4451

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