Individual provider Active NPI

Laurie Joyce Berson, MOT

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1184772360
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
64297 Issued in TX
Practice address
207 E 44TH St
Austin, TX 78751-3811
Phone
(707) 851-0445
NPI assigned
Jan 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 64297 TX Primary

Addresses

Primary practice location

207 E 44TH St
Austin, TX 78751-3811

Mailing address

2132 Sage Creek Loop
Austin, TX 78704-5216
Phone (512) 300-5160

Other practice location 1

1717 W 10th St
Austin, TX 78703-3907
Phone (512) 447-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64297TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1184772360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 SAGE CREEK LOOP",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045216",
            "telephone_number": "512-300-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E 44TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513811",
            "telephone_number": "707-851-0445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787033907",
            "country_code": "US",
            "telephone_number": "512-447-4141",
            "fax_number": "512-440-4081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERSON",
        "first_name": "LAURIE",
        "middle_name": "JOYCE",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "64297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.