Individual provider Active NPI

Betty Tharpe, MFT

  • Specialist
  • Berkeley, CA
National Provider Identifier
1184773459
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MFC23233 Issued in CA
Practice address
2612 Alcatraz Ave Ste 5
Berkeley, CA 94705-2723
Phone
(510) 655-1511
Fax
(510) 338-6384
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MFC23233 CA Primary

Addresses

Primary practice location

2612 Alcatraz Ave Ste 5
Berkeley, CA 94705-2723

Mailing address

2612 Alcatraz Ave Ste 5
Berkeley, CA 94705-2723
Phone (510) 655-1511

Other identifiers 1

IdentifierTypeStateIssuer
134875OtherCAVALUE OPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222003959 CA Practitioner - Marriage and Family Therapist 9638522527 Practice locations: Berkeley, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2612 Alcatraz Ave
Berkeley, CA 94705-2723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC23233CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1184773459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 ALCATRAZ AVE STE 5",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052723",
            "telephone_number": "510-655-1511",
            "fax_number": "510-338-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 ALCATRAZ AVE STE 5",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052723",
            "telephone_number": "510-655-1511",
            "fax_number": "510-338-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARPE",
        "first_name": "BETTY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "MFC23233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "134875",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.