Provider Demographics
NPI:1427284959
Name:BARROW-KAISER, BERJE ADELE (PHD,RPP,BCN, , HTC)
Entity type:Individual
Prefix:
First Name:BERJE
Middle Name:ADELE
Last Name:BARROW-KAISER
Suffix:
Gender:F
Credentials:PHD,RPP,BCN, , HTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 RIVAS RD
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-9333
Mailing Address - Country:US
Mailing Address - Phone:505-506-2168
Mailing Address - Fax:
Practice Address - Street 1:1212 RIVAS RD
Practice Address - Street 2:
Practice Address - City:LOS LUNAS
Practice Address - State:NM
Practice Address - Zip Code:87031-9333
Practice Address - Country:US
Practice Address - Phone:505-506-2168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM173C00000X, 175T00000X
101YP1600X
NM00000171400000X
NV#5363246ZE0500X
NMCTB-2025-0814101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No173C00000XOther Service ProvidersReflexologist
No175T00000XOther Service ProvidersPeer Specialist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No171400000XOther Service ProvidersHealth & Wellness Coach
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Single Specialty