Organization Active NPI

Becky Bergthold, LLC

  • Mental Health Counselor
  • Richardson, TX
National Provider Identifier
1184043168
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17987 Issued in TX
Legal business name
BECKY BERGTHOLD, LLC
Practice address
1702 N Collins Blvd
Suite 190
Richardson, TX 75080-3566
Phone
(214) 693-7646
NPI assigned
Apr 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Rebecca L Bergthold, MS, LPC
Title
Child and Adolescent Therapist
Phone
(214) 693-7646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 17987 TX Primary

Addresses

Primary practice location

1702 N Collins Blvd
Suite 190
Richardson, TX 75080-3566

Mailing address

1702 N Collins Blvd
Suite 190
Richardson, TX 75080-3566
Phone (214) 693-7646

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1184043168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 N COLLINS BLVD",
            "address_2": "SUITE 190",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803566",
            "telephone_number": "214-693-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 N COLLINS BLVD",
            "address_2": "SUITE 190",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803566",
            "telephone_number": "214-693-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKY BERGTHOLD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "BERGTHOLD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHILD AND ADOLESCENT THERAPIST",
        "authorized_official_telephone_number": "214-693-7646",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.