Active NPI
Laurie Joyce Berson, MOT
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1184772360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 64297
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 64297 | TX | MD | Mental 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.