Individual provider Active NPI

Beth Susan Fergin, BETH FERGIN, MSW

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1235355371
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
428 E 22ND Ave
Spokane, WA 99203-2332
Phone
(509) 443-9930
Fax
(509) 747-0969
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 Primary

Addresses

Primary practice location

428 E 22ND Ave
Spokane, WA 99203-2332

Mailing address

707 W.7TH Ave.
Suite 220
Spokane, WA 99204-2821
Phone (509) 443-9930

Other identifiers 1

IdentifierTypeStateIssuer
771494MedicaidWA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Fergin Psychotherapy, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1235355371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W.7TH AVE.",
            "address_2": "SUITE 220",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042821",
            "telephone_number": "509-443-9930",
            "fax_number": "509-747-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E 22ND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032332",
            "telephone_number": "509-443-9930",
            "fax_number": "509-747-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGIN",
        "first_name": "BETH",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "BETH FERGIN, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "771494",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.