NPIMap

Organization Active NPI

Speakeasy Counseling, LLC

  • Professional Counselor
  • Belton, TX
National Provider Identifier
1154083350
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SPEAKEASY COUNSELING, LLC
Practice address
518 Kinney Dr
Belton, TX 76513-1411
Phone
(254) 346-4590
NPI assigned
Oct 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Dr. Jeremy Berry, PH.D, LPC-SNPI 1104130202
Title
Counselor
Phone
(806) 281-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

518 Kinney Dr
Belton, TX 76513-1411

Mailing address

518 Kinney Dr
Belton, TX 76513-1411

National Provider Directory

National Provider Directory

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1154083350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 KINNEY DR",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765131411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 KINNEY DR",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765131411",
            "telephone_number": "254-346-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAKEASY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "806-281-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.