Margaret Ann Beresford, MC, ATR-BC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-1768 Issued in AZ

Practice address

4545 N. 36TH Street, Suite 117
Phoenix, AZ 85018-5473

Phone

(602) 509-5771

NPI assigned

Oct 10, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindscape Wellness LLC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1447863683
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1003326638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N. 36TH STREET",
            "address_2": "SUITE 117",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185344",
            "telephone_number": "602-509-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N. 36TH STREET, SUITE 117",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185473",
            "telephone_number": "602-509-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERESFORD",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "credential": "MC, ATR-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-1768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Michelle Bercovich, PHARMD
• Kelsi Berczynski
• Kirsten Virginia Berdahl, PT, ATC
• Jessica Michele Berdeja, MD
• Sarah Beres
• Don C Beresini, MD
• Max Berestovetsky, PHARMD
• Brooke Berg, BSW
• Charlene Berg, BHT
• Jessica Berg, LPC

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.