Provider Demographics
NPI:1962926899
Name:BERMAN, STEVEN JOEL (MA, LPC, NCC, CAADC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:JOEL
Last Name:BERMAN
Suffix:
Gender:M
Credentials:MA, LPC, NCC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 HICKORY GLEN DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-2204
Mailing Address - Country:US
Mailing Address - Phone:810-210-5221
Mailing Address - Fax:
Practice Address - Street 1:20 N 2ND ST STE 103
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:MI
Practice Address - Zip Code:49120-2259
Practice Address - Country:US
Practice Address - Phone:269-262-1815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC-03905101YA0400X
MI6401018194101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIC-03905OtherMCBAP
MI6401018194Medicaid
MI6401018194OtherSTATE OF MICHIGAN - DEPT. OF LICENSING AND REGULATORY AFFAIRS